Provider Demographics
NPI:1154598738
Name:DESMONE, FRANCES A (LIC AC)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:A
Last Name:DESMONE
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 374
Mailing Address - Street 2:
Mailing Address - City:VINEYARD HAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02568-0374
Mailing Address - Country:US
Mailing Address - Phone:508-292-5036
Mailing Address - Fax:
Practice Address - Street 1:4 CHURCH ST.
Practice Address - Street 2:
Practice Address - City:VINEYARD
Practice Address - State:MA
Practice Address - Zip Code:02568
Practice Address - Country:US
Practice Address - Phone:508-292-5036
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA216171171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist