Individual
ROXANNE DESJARLAIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
GENERAL DELIVERY, REDLAKE, MN 56671-9999
(218) 679-3860
Mailing address
GENERAL DELIVERY, REDLAKE, MN 56671-9999
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP 4813
MN
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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