Individual
PRIMACELLE DEJESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41155 POND VIEW DR, STERLING HEIGHTS, MI 48314
(586) 530-2469
Mailing address
20549 BALMORAL DR, MACOMB, MI 48044-5900
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006865
MI
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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