Desiree Marie Durrett
NPI #1053838383 in Portales, New Mexico
Provider Information
- NPI Number
- 1053838383
- Entity Type
- Individual
- Name
- Desiree Marie Durrett
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- Aug 28, 2017
- Last Updated
- Aug 28, 2017
Practice Location
- Address
- 1500 S AVENUE K
- Address 2
- STATION 3, SHROC
- City
- Portales
- State
- New Mexico
- ZIP Code
- 88130
- Phone
- (575) 562-2160
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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