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Darlene Dessources

Homemaker in Port St Lucie, FL. Individual provider (NPI-1).

NPI number1902303498
StatusActive
Last updated in NPPESApr 10, 2018

Details

NPI
1902303498
Entity type
Individual (NPI-1)
Name
Darlene Dessources
Sex
Female
Sole proprietor
No
Enumeration date
Apr 10, 2018
Last updated
Apr 10, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376J00000X Homemaker234634FLYes

Practice location

681 Sw Fredrica St
Port St Lucie, FL 34983-1875

Phone 954-655-9682 · Fax 888-988-2894

Mailing address

Po Box 882012
Port St Lucie, FL 34988-2012

Phone 954-655-9682 · Fax 888-988-2894

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