Individual
DESIREE CHERISE HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1206 N FULTON ST, RAEFORD, NC 28376-1926
(910) 875-4280
Mailing address
2854 ATTORNEY DR APT G, FAYETTEVILLE, NC 28304-6322
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
13236
NC
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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