Individual
MRS. MICHELLE DESROCHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
9201 SHORE RD APT D711, BROOKLYN, NY 11209-6596
(718) 431-9891
Mailing address
9201 SHORE RD APT D711, BROOKLYN, NY 11209-6596
(718) 431-9891
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
48007268
NY
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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