NPI 1275712838

Desseray Simon

Practitioner Specialist Saint Paul, MN

Practice location

Address: 1501 Park St APT 206, Saint Paul, MN 55110-7702
Phone: (651) 983-9311

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1275712838
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Oct 2007
Record last updated: 31 Oct 2007

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.