Individual
MISS VICTORIA DANIELLE DESIMONE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
900 BEASLEY ST, LEXINGTON, KY 40509-4266
(859) 254-1035
(859) 254-2075
Mailing address
900 BEASLEY ST, LEXINGTON, KY 40509-4266
(859) 254-1035
(859) 254-2075
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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