Desseray Simon
NPI #1275712838 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1275712838
- Entity Type
- Individual
- Name
- Desseray Simon
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Oct 31, 2007
- Last Updated
- Oct 31, 2007
Practice Location
- Address
- 1501 PARK ST
- Address 2
- APT 206
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55110-7702
- Phone
- (651) 983-9311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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