Destiny L Mack
Destiny L Mack is a Medical Physician Assistant in Washington, District of Columbia. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
900 23rd St NWWashington, DC 20037-2342
Phone: (202) 715-4000
Fax: (202) 715-4015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X |
|---|
Record details
| NPI number | 1629677398 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 22, 2020 |
| Last updated in NPPES | October 5, 2021 |
| Certification date | October 5, 2021 |
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