Individual
DESTINY BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4245 S GRAND CANYON DR STE 226, LAS VEGAS, NV 89147-7162
(702) 751-0356
Mailing address
4245 S GRAND CANYON DR STE 226, LAS VEGAS, NV 89147-7162
(702) 751-0356
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703128762
MI
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
05/31/2023
Last updated
05/10/2024
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