Individual
HEATHER DESROCHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
954 MAIN ST, BRANFORD, CT 06405-7727
(203) 481-0003
(855) 496-0993
Mailing address
31 BROADWAY, NORTH HAVEN, CT 06473-2363
(860) 302-9414
(203) 239-3047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6363
CT
Other
Enumeration date
07/11/2020
Last updated
06/05/2024
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