Theresa Lydia Deroy

NPI 1972636736 - Registered Nurse - 163W00000X

NPI Details
NPI 1972636736
Gender Female
Enumeration Date 03/13/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
753 NW MAIN ST
DOUGLAS MA, 01516-2802, US
Phone (508) 476-1112
Fax (508) 476-2444
Business Location
753 NW MAIN ST
DOUGLAS MA, 01516-2802, US
Phone (508) 476-1112
Fax (508) 476-2444
Toxanomy
Taxonomy Code 163W00000X
License State Massachusetts
License Number 175554
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According to our database, Theresa Lydia Deroy NPI is 1972636736, taxonomy code is 163W00000X and license number is 175554, license state is located at Massachusetts. Theresa Lydia Deroy physically located at 753 Nw Main St, Douglas MA, 01516-2802. NPI Number Theresa Lydia Deroy has the Individual type.

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1972636736 NPI number is provided on an as is basis without warranty of any kind. 1972636736 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Lydia Deroy are for informational purposes only.