Individual
MEGHAN DEROUSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 6TH AVE STE 2, INDIALANTIC, FL 32903-3255
(321) 409-8808
Mailing address
114 6TH AVE STE 2, INDIALANTIC, FL 32903-3255
(321) 409-8808
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP4227
FL
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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