Search › Michigan › 183700000X
Deborah Distefano, CPHT
NPI 1639264062 · on the registry since 2006
Practice
- Address
- 512 Phoenix Street
South Haven, MI 49090 - Phone
- (269) 637-1161
- Organisation at this address
- Macdonald Drug Store Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 183700000X
183700000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan