Individual
DESTINY HARRELL-WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
9470 BROADWAY, CROWN POINT, IN 46307-5722
(219) 661-3260
(219) 662-3770
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
02006132A
IN
Other
Enumeration date
03/27/2017
Last updated
05/03/2023
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