Individual
DESTINY GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5281 S 5420 W, KEARNS, UT 84118-7438
(385) 900-9835
Mailing address
5281 S 5420 W, KEARNS, UT 84118-7438
(385) 900-9835
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11469689-4405
UT
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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