Individual
LEVI AUSTIN DESTAFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1561 GROVE HILL RD, AUBURN, AL 36830-7544
(308) 636-6686
Mailing address
20000 E FORT MCPHERSON RD, MAXWELL, NE 69151-1032
(308) 636-6686
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
NE
Other
Enumeration date
11/25/2025
Last updated
11/25/2025
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