Individual
SAMANTHA DESRUISSEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9130 E ELLIOT RD, MESA, AZ 85212-9675
(480) 410-4100
Mailing address
100 WASHINGTON AVE S, MINNEAPOLIS, MN 55401-2110
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/14/2025
Last updated
07/18/2025
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