Destiny Mae Broadwater
Destiny Mae Broadwater is a Personal Care Attendant in Keyser, West Virginia. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
315 S E StKeyser, WV 26726-2324
Phone: (304) 788-5467
Fax: (304) 788-6363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X |
|---|
Record details
| NPI number | 1073203287 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 10, 2023 |
| Last updated in NPPES | May 10, 2023 |
| Certification date | May 10, 2023 |
| Mailing address | 315 S E St, Keyser, WV 26726-2324 |
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