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
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None 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.