Individual
MS. STEPHANIE DESIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21427 NW 13TH CT APT 214, MIAMI, FL 33169-7428
(754) 209-9000
Mailing address
21427 NW 13TH CT APT 214, MIAMI, FL 33169-7428
(754) 209-9000
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
843630315
—
FL
Enumeration date
01/24/2020
Last updated
01/24/2020
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