Individual
REBEKAH DESOTELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1485 M 139, BENTON HARBOR, MI 49022-5711
(269) 925-0585
Mailing address
1485 M 139, BENTON HARBOR, MI 49022-5711
(269) 925-0585
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704287270
MI
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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