Individual
DESTINY PAIGE JUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5347 HWY 645, INEZ, KY 41224
(304) 733-1094
Mailing address
5347 WHY 645, INEZ, KY 41224
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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