Individual
DESTANY MICHELLE COTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2466 E TAHQUITZ CANYON WAY APT 127, PALM SPRINGS, CA 92262-7023
(760) 540-8181
Mailing address
2466 E TAHQUITZ CANYON WAY APT 127, PALM SPRINGS, CA 92262-7023
(760) 540-8181
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
720378
CA
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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