Individual
WIDLYNE DESIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1121 JACKSON ST NE STE 100, MINNEAPOLIS, MN 55413-3051
(612) 405-5876
Mailing address
PO BOX 6836, SAINT PAUL, MN 55106-0836
(612) 405-5876
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
MN
374J00000X
Doula
—
—
Other
Enumeration date
05/26/2022
Last updated
07/20/2024
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