Deserae Fawcett, BS
NPI #1053712224 in Manchester, New Hampshire
Provider Information
- NPI Number
- 1053712224
- Entity Type
- Individual
- Name
- Deserae Fawcett, BS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- BS
- Enumeration Date
- Sep 8, 2014
- Last Updated
- Jul 2, 2021
Practice Location
- Address
- 2 WALL ST STE 400
- City
- Manchester
- State
- New Hampshire
- ZIP Code
- 03101-1518
- Phone
- (603) 668-4111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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