Individual
DESTINEE NANINA TOUSSAINT I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 JOHN KNOX RD BLDG A, TALLAHASSEE, FL 32303-4101
(850) 921-0772
Mailing address
325 JOHN KNOX RD BLDG A, TALLAHASSEE, FL 32303-4101
(850) 921-0772
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T253-174-00-742-0
DRIVERS LICENSE NUMBER
—
Enumeration date
02/21/2023
Last updated
02/21/2023
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