NPI 1003554148
Widlyne Desir
Practice location
- Address
- 1121 Jackson St NE STE 100, Minneapolis, MN 55413-3051
- Phone
- (612) 405-5876
- Mailing address
- PO Box 6836, Saint Paul, MN 55106-0836
Registered specialties (2)
Massage Therapist
Primary
Registry record
- NPI
- 1003554148
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 May 2022
- Record last updated
- 20 Jul 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.