Individual
ARMELLE COLETTE BRIDGETTE DERISO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3000 ARLINGTON AVE # MS 1095, TOLEDO, OH 43614-2598
(419) 383-6462
Mailing address
846 CROSSTREE LN, SANDUSKY, OH 44870-6550
(419) 202-5379
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OH
Other
Enumeration date
04/05/2021
Last updated
04/07/2021
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