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Destiny S Davis
Mastectomy Fitter in Washington, North Carolina
NPI 1134689326

Destiny S Davis is a Mastectomy Fitter based in Washington, NC. Destiny S Davis practices in Washington, NC. The NPI Number for Destiny S Davis is 1134689326 and holds a License No. (North Carolina).

The current practice location address for Destiny S Davis is 405 W 15Th St, Washington, NC and can be reached out via phone at 252-409-1203 and via fax at 252-940-1206.

Location: 405 W 15Th St, Washington, NC, 27889-3524
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134689326
Provider Name
Destiny S Davis
Credential
Provider Entity Type
Individual
Gender
Female
Address
405 W 15Th St, Washington, NC, 27889-3524
Phone Number
252-409-1203
Fax Number
252-940-1206
Provider Enumeration Date
03/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
405 W 15Th St
City
Washington
State
North Carolina
Zip
27889-3524
Phone Number
252-409-1203
Fax Number
252-940-1206
person
Provider Business Mailing Address Details
Address
405 W 15Th St
City
Washington
State
North Carolina
Zip
27889-3524
Phone Number
252-409-1203
Fax Number
252-940-1206
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Mastectomy Fitter
Speciality
-
Taxonomy
224900000X
License No.
()
Definition
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
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