Diane Adele Mount Desroches
Registered Nurse in Durham, CT. Individual provider (NPI-1).
NPI number1730458068
StatusActive
Last updated in NPPESDec 15, 2011
Details
- NPI
- 1730458068
- Entity type
- Individual (NPI-1)
- Name
- Diane Adele Mount Desroches
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 15, 2011
- Last updated
- Dec 15, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | E57219 | CT | Yes |
Practice location
459r Wallingford RdDurham, CT 06422-1124
Phone 860-349-1989
Mailing address
459r Wallingford RdDurham, CT 06422-1124
Phone 860-349-1989
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