Destiny Marie Brown
Student in an Organized Health Care Education/Training Program in Springfield, MA. Individual provider (NPI-1).
NPI number1831965656
StatusActive
Last updated in NPPESDec 1, 2023
Details
- NPI
- 1831965656
- Entity type
- Individual (NPI-1)
- Name
- Destiny Marie Brown
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 1, 2023
- Certification date
- Dec 1, 2023
- Last updated
- Dec 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
70 Ionia StSpringfield, MA 01109-2520
Phone 413-777-1375
Mailing address
70 Ionia StSpringfield, MA 01109-2520
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