Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 766 | PR |
NPI | 1003495482 |
---|---|
Provider Name | Dr. Francheska Michelle Desa |
First Address | Hormigueros, PR 00660 |
Second Address | Yauco, PR 00698-3578 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2021 |
Last Update Date | 05/04/2021 |