Individual
SARA DESMARAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 DRURY LN, ENGLEWOOD, FL 34224-4545
(941) 474-9371
Mailing address
1111 DRURY LN, ENGLEWOOD, FL 34224-4545
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/16/2012
Last updated
01/16/2012
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