Individual
DESTINY BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
852 S LAWN AVE, COSHOCTON, OH 43812-2550
(740) 294-7792
Mailing address
852 S LAWN AVE, COSHOCTON, OH 43812-2550
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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