Individual
MRS. HOLLY LEIGH DESROSIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
184 TARRYTOWN RD, MANCHESTER, NH 03103-2713
(603) 627-1102
(603) 647-5524
Mailing address
184 TARRYTOWN RD, MANCHESTER, NH 03103-2713
(603) 627-1102
(603) 647-5524
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0583P
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30334287
—
NH
Enumeration date
05/11/2006
Last updated
07/08/2007
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