Individual
DESTINY MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4495 HUNTON DALE RD NW, CONCORD, NC 28027-0270
(704) 608-5466
Mailing address
4495 HUNTON DALE RD NW, CONCORD, NC 28027-0270
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/03/2024
Last updated
08/03/2024
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