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Cyrus Daniel Desmarais

Peer Specialist in Wenatchee, WA. Individual provider (NPI-1).

NPI number1669945648
StatusActive
Last updated in NPPESJan 2, 2019

Details

NPI
1669945648
Entity type
Individual (NPI-1)
Name
Cyrus Daniel Desmarais
Sex
Male
Sole proprietor
No
Enumeration date
Jan 2, 2019
Last updated
Jan 2, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

1014 Walla Walla Ave
Wenatchee, WA 98801-1523

Phone 970-787-0597

Mailing address

1014 Walla Walla Ave
Wenatchee, WA 98801-1523

Phone 509-663-0034

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