Individual
DESTINY DENAE MCKNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4608 HAMPTON BLVD, NORFOLK, VA 23508
(708) 261-6409
Mailing address
1055 W 38TH ST APT 216, NORFOLK, VA 23508-2644
(708) 261-6409
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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