Desiree Renee Deroche

NPI #1538847934 in Lakeview, Oregon

Provider Information

NPI Number: 1538847934
Entity Type: Individual
Name: Desiree Renee Deroche
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jul 6, 2023
Last Updated: Jul 6, 2023

Practice Location

Address: 215 N G ST
City: Lakeview
State: Oregon
ZIP Code: 97630-1417
Phone: (541) 947-6021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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