Individual
SUSAN MARIE DURUSSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3037 MELROSE DR, BAY CITY, MI 48706-2311
(989) 450-0440
Mailing address
3037 MELROSE DR, BAY CITY, MI 48706-2311
(989) 450-0440
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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