Destiny Gwanulla
Destiny Gwanulla is a Case Manager/Care Coordinator in Laurel, Maryland. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
9407 Spring House Ln Apt ALaurel, MD 20708-3294
Phone: (443) 941-5965
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1659157451 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 6, 2023 |
| Last updated in NPPES | September 6, 2023 |
| Certification date | September 6, 2023 |
| Mailing address | 9407 Spring House Ln Apt A, Laurel, MD 20708-3294 |
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