Individual provider · NPI-1

Destiny Abumchi

Technician/Technologist · Dearborn, MI

NPI number1336925957
StatusActive
Last updated in NPPESSep 8, 2023

Details

NPI
1336925957
Entity type
Individual (NPI-1)
Name
Destiny Abumchi
Sex
Female
Sole proprietor
No
Enumeration date
Sep 8, 2023
Certification date
Sep 8, 2023
Last updated
Sep 8, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156F00000X Technician/Technologist––Yes

Practice location

19853 Outer Dr Ste 110
Dearborn, MI 48124-2044

Phone 313-406-5056

Mailing address

19853 Outer Dr Ste 110
Dearborn, MI 48124-2044

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