Individual
MS. DESTINY MARIAH THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
642 LEDBETTER AVE, MEMPHIS, TN 38109-5135
(314) 634-5198
Mailing address
642 LEDBETTER AVE, MEMPHIS, TN 38109-5135
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
TN
Other
Enumeration date
01/01/2026
Last updated
04/03/2026
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