Destiny Mae Broadwater
NPI #1073203287 in Keyser, West Virginia
Provider Information
- NPI Number
- 1073203287
- Entity Type
- Individual
- Name
- Destiny Mae Broadwater
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- May 10, 2023
- Last Updated
- May 10, 2023
Practice Location
- Address
- 315 S E ST
- City
- Keyser
- State
- West Virginia
- ZIP Code
- 26726-2324
- Phone
- (304) 788-5467
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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