NPI 1134689326

Destiny S Davis

Practitioner Mastectomy Fitter Washington, NC

Practice location

Address: 405 W 15th St, Washington, NC 27889-3524
Phone: (252) 409-1203
Fax: (252) 940-1206

Registered specialties

Mastectomy Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224900000X

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Registry record

NPI: 1134689326
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Mar 2019
Record last updated: 22 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.