Individual
DESTINEY CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5500 TABOR AVE, PHILADELPHIA, PA 19120-2124
(215) 245-2131
(215) 245-5258
Mailing address
4840 N FRANKLIN ST, PHILADELPHIA, PA 19120-3738
(215) 688-3835
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN309611
PA
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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