Individual
DESTINY KILPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
223 F ST APT 109, MARYSVILLE, CA 95901-5819
(530) 315-4580
Mailing address
5350 E TROPICANA AVE APT 40, LAS VEGAS, NV 89122-6728
(702) 955-7998
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
002250461
CA
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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