Destiny Sade Clark
Destiny Sade Clark is a Student in an Organized Health Care Education/Training Program in Jacksonville, Florida. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
8496 Julia Marie CirJacksonville, FL 32210-0408
Phone: (904) 497-5484
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1497462667 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 27, 2022 |
| Last updated in NPPES | October 27, 2022 |
| Certification date | October 27, 2022 |
| Mailing address | 8496 Julia Marie Cir, Jacksonville, FL 32210-0408 |
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