Individual
DESTINY BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18268 HANNA ST, MELVINDALE, MI 48122-1425
(833) 476-5837
Mailing address
18268 HANNA ST, MELVINDALE, MI 48122-1425
(833) 476-5837
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703133038
MI
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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