Individual
DR. DESTINY DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2525 W MASON ST, GREEN BAY, WI 54303-4838
(607) 857-4087
Mailing address
8283 WHITEHEAD HILL RD, BRADFORD, NY 14815-9720
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104558033
VA
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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