Individual
DESTINY S DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 W 15TH ST, WASHINGTON, NC 27889-3524
(252) 409-1203
(252) 940-1206
Mailing address
405 W 15TH ST, WASHINGTON, NC 27889-3524
(252) 409-1203
(252) 940-1206
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
—
—
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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