Individual
DESTINY DEMORNAY JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
840 BROADWAY AVE APT 307, BEDFORD HTS, OH 44146-3602
(216) 325-8716
Mailing address
840 BROADWAY AVE APT 307, BEDFORD HTS, OH 44146-3602
(216) 325-8716
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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