Individual
DESTINY MARIE GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22703 CHESTERVIEW LOOP APT.211, LAND O LAKES, FL 34639
(813) 545-9003
Mailing address
22703 CHESTERVIEW LOOP APT.211, LAND O LAKES, FL 34639
(813) 545-9003
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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