Individual
DESTANY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 W 10TH AVE, COLUMBUS, OH 43210-1328
(614) 292-8000
Mailing address
520 W 10TH AVE, COLUMBUS, OH 43210-1328
(614) 293-8000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
462293
OH
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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