Individual
DESTINY FORDYCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2417 LAKE WASHINGTON RD, WASHINGTON, WV 26181-4612
(304) 580-9735
Mailing address
2417 LAKE WASHINGTON RD, WASHINGTON, WV 26181-4612
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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