DR. Joanna Iris Avena Depasupil, MD
NPI #1760060909 in Derry, New Hampshire
Provider Information
- NPI Number
- 1760060909
- Entity Type
- Individual
- Name
- DR. Joanna Iris Avena Depasupil, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Credential
- MD
- Enumeration Date
- Mar 30, 2021
- Last Updated
- Mar 30, 2021
Practice Location
- Address
- 3 FOREST RIDGE RD APT 233
- City
- Derry
- State
- New Hampshire
- ZIP Code
- 03038-6126
- Phone
- (603) 553-6753
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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