Individual
DESTINI WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 AVENUE C SE, WINTER HAVEN, FL 33880-3243
(863) 377-1340
Mailing address
309 FISH HAWK DR, WINTER HAVEN, FL 33884-4175
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
5556
FL
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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