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Individual

DESTINY MILLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
512 S 113TH ST, MESA, AZ 85208-5408
(480) 245-0758
Mailing address
512 S 113TH ST, MESA, AZ 85208-5408

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
05/23/2023
Last updated
05/23/2023
About Stedi
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Product
  • Claims
  • Eligibility checks
  • EDI platform