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Individual

MRS. ERIN C DESROSIERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
4374 NEW TOWN AVE, SUITE 200, WILLIAMSBURG, VA 23188-2865
(757) 220-2795
(757) 259-8797
Mailing address
4374 NEW TOWN AVE, SUITE 200, WILLIAMSBURG, VA 23188-2865
(757) 220-2795
(757) 259-8797

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002569
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10023590
OPTIMA
VA
Enumeration date
08/23/2007
Last updated
05/24/2011
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