Individual
MRS. DESTINI L GOINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
859 E MELTON DRIVE, JAY, OK 74346
(918) 253-1740
(918) 253-6822
Mailing address
859 E MELTON DRIVE, JAY, OK 74346
(918) 253-1740
(918) 253-6822
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
92526
OK
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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