Individual
DESTINEE LYNNE UTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 S AMPHLETT BLVD STE 120, SAN MATEO, CA 94402-2711
(408) 313-0633
Mailing address
1700 S AMPHLETT BLVD STE 120, SAN MATEO, CA 94402-2711
(408) 313-0633
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
04/14/2025
Last updated
05/10/2025
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