Samantha Jean-Guillaume Dessources, PA-C
NPI #1598309510 in Massapequa Park, New York
Provider Information
- NPI Number
- 1598309510
- Entity Type
- Individual
- Name
- Samantha Jean-Guillaume Dessources, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Nov 1, 2019
- Last Updated
- Apr 6, 2022
Practice Location
- Address
- 4954 MERRICK RD
- City
- Massapequa Park
- State
- New York
- ZIP Code
- 11762
- Phone
- (516) 308-7255
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Physician Assistant |
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