Individual
DESTINY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NEMT
Contact information
Practice address
25030 GILMAR CT, NORTH DINWIDDIE, VA 23803-8615
(804) 549-8318
Mailing address
25030 GILMAR CT, NORTH DINWIDDIE, VA 23803-8615
(804) 549-8318
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
T62549501
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88-1946482
—
VA
Enumeration date
05/09/2022
Last updated
05/09/2022
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