Individual
DESTINEE MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2323 N CENTRAL EXPY # 1000, RICHARDSON, TX 75080-2712
(214) 453-4533
Mailing address
2323 N CENTRAL EXPY # 1000, RICHARDSON, TX 75080-2712
(214) 453-4533
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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