Individual
DR. DESTINY MBIDOAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
8894 GATEWAY N BLVD, EL PASO, TX 79904
(915) 747-7960
Mailing address
111 E 4TH ST STE 440, ALTON, IL 62002-6206
(618) 462-9818
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10501TG
TX
Other
Enumeration date
03/02/2022
Last updated
03/01/2023
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