Individual provider · Type 1 NPI

Desseray Simon

Specialist · St. Paul, MN

NPI number 1275712838 Active

Practice location

1501 Park St, Apt 206
St. Paul, MN 55110-7702

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1275712838

Desseray Simon's National Provider Identifier is 1275712838, issued on Oct 31, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Paul, MN. The record was last updated on Oct 31, 2007.