Individual
DESIRE L AYISSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5319 LEES CROSSING DR APT 2, CINCINNATI, OH 45239-7684
(513) 328-5933
Mailing address
5319 LEES CROSSING DR APT 2, CINCINNATI, OH 45239-7684
(513) 328-5933
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
386099
OH
363L00000X
Nurse Practitioner
Primary
AP61531156
WA
Other
Enumeration date
07/16/2013
Last updated
03/21/2024
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