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Individual
RENEE DOREANE DESOUCY
Active
Individual
RENEE DOREANE DESOUCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN001577
NV
363LF0000X
Family Nurse Practitioner
Primary
CA 22482
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN001577
APRN LICENSE
NV
01
—
CA 22482
CA APRN
CA
Enumeration date
08/20/2013
Last updated
11/10/2015
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