Individual
DESTINY ROSE SYLVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC, EMT
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5798
(504) 899-3496
Mailing address
35677 HIGHWAY 11 APT B1, BURAS, LA 70041-5247
(985) 628-2899
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
305531
LA
Other
Enumeration date
11/28/2016
Last updated
11/18/2022
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