Individual
DESTINY RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26350 DELANO DR SPC 74, IDYLLWILD, CA 92549-2631
(840) 250-8641
Mailing address
PO BOX 99, MOUNTAIN CENTER, CA 92561-0099
(840) 250-8641
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/23/2025
Last updated
08/23/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us