Individual
JACLYN DESROSIERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91 NAHANT ST, WAKEFIELD, MA 01880-3333
(781) 249-0945
Mailing address
91 NAHANT ST, WAKEFIELD, MA 01880-3333
(781) 249-0945
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN2264026
MA
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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