Individual
DESIREE MOTIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST/CFA
Contact information
Practice address
1821 S WEBSTER AVE, GREEN BAY, WI 54301-2253
(920) 496-4700
(920) 431-1972
Mailing address
1821 S WEBSTER AVE, PO BOX 19070, GREEN BAY, WI 54301-2253
(920) 496-4700
(920) 431-1972
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109757
NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING
WI
Enumeration date
12/12/2008
Last updated
12/12/2008
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