Destiny L. Tanas

NPI #1124750146 in Crete, Illinois

Provider Information

NPI Number: 1124750146
Entity Type: Individual
Name: Destiny L. Tanas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jun 28, 2022
Last Updated: Jun 28, 2022

Practice Location

Address: 534 1ST ST STE A
City: Crete
State: Illinois
ZIP Code: 60417-2153
Phone: (219) 805-1560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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