Individual
DESTINY VANDIVERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8901 CARTI WAY, LITTLE ROCK, AR 72205-6523
(501) 906-3000
(501) 537-8771
Mailing address
63 PICKLES GAP RD, CONWAY, AR 72032-8829
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
11/11/2025
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