Individual
DESTINY PAIGE GWYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
4000 OPORTO ST, ODESSA, TX 79765-4406
(432) 934-9739
Mailing address
4000 OPORTO ST, ODESSA, TX 79765-4406
(432) 934-9739
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1064223
TX
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-320099
TX
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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