Individual
MRS. MICHELE L DESTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
478 RIVERWALK DR, YOUNGSTOWN, NY 14174-9603
(716) 438-8140
Mailing address
478 RIVERWALK DR, YOUNGSTOWN, NY 14174-9603
(716) 438-8140
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/27/2024
Last updated
04/27/2024
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