Individual
DESTINY ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 S WEBER ST STE 200, COLORADO SPRINGS, CO 80903-1928
(866) 226-8576
Mailing address
15 GRANT ST, PENROSE, CO 81240-9643
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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