Individual
SAMANTHA DESCHENEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 PINETREE LN, DRACUT, MA 01826-1666
(978) 902-8083
Mailing address
15 PINETREE LN, DRACUT, MA 01826-1666
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95080664
CA
163WR0400X
Rehabilitation Registered Nurse
95080664
CA
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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