Individual
DESTINY TIARA STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
657 N F ST APT 5, SAN BERNARDINO, CA 92410-3037
(909) 289-0866
(909) 289-0866
Mailing address
604 W 4TH ST, SAN BERNARDINO, CA 92410-3216
(909) 289-0866
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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