Desruisseaux, Ketelie

Desruisseaux, Ketelie is an sole proprietor health care provider with primary practice located at 5700 Lake Worth Rd Ste 106 , Greenacres FL 33463-3213. She recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as her primary health care specialty. Desruisseaux, Ketelie can be contacted via phone (561) 439-3991.

Contact Information

Primary practice address
5700 Lake Worth Rd Ste 106 Greenacres FL 33463-3213
Phone: (561) 439-3991
Fax: (561) 439-3993
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1659957108
LBN Legal business name Desruisseaux, Ketelie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2021
Last updated Mar 23rd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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