Organization
DESTINY MEDICAL PRACTICE LLC
Active
Other names
DESTINY MEDICAL PRACTICE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
VIDA-LYNN ASIAMAH- ASARE APN (OWNER)
(917) 204-3333
Entity
Organization
Contact information
Practice address
10 AMARA LN, WESTAMPTON, NJ 08060-5753
(914) 204-3348
Mailing address
PO BOX 544, RANCOCAS, NJ 08073-0544
(609) 496-3494
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
11/24/2020
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