Individual
DESIREE MICHELE DACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2705 MARSHALL AVE, GRANITE CITY, IL 62040-5823
(314) 458-2700
Mailing address
2705 MARSHALL AVE, GRANITE CITY, IL 62040-5823
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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