Individual
DESTINY NICOLE MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
19400 108TH AVE SE STE 202, KENT, WA 98031-0108
(253) 852-2120
Mailing address
2620 4TH AVE N APT 602, SEATTLE, WA 98109-1958
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
61096256
WA
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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