Individual
DESTINEY CHRISTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 SOUTH AVE, TOLEDO, OH 43609-3334
(419) 464-4534
Mailing address
520 SOUTH AVE, TOLEDO, OH 43609-3334
(419) 464-4534
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
181894.MEDS.IV
OH
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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