Individual
DESTINY DOUGLAS KOFI DOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
658 FAIRVIEW AVE, TAKOMA PARK, MD 20912-5954
(202) 427-8967
Mailing address
658 FAIRVIEW AVE, TAKOMA PARK, MD 20912-5954
(202) 427-8967
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA9438
DC
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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