Individual
DESTINY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4008 N WHEELING AVE, KANSAS CITY, MO 64117-2817
(816) 489-1899
Mailing address
4008 N WHEELING AVE, KANSAS CITY, MO 64117-2817
(816) 489-1899
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
L0677940480
MO
Other
Enumeration date
02/26/2022
Last updated
02/26/2022
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