Destiny Lynique Mayville

NPI #1205510211 in Albany, New York

Provider Information

NPI Number
1205510211
Entity Type
Individual
Name
Destiny Lynique Mayville
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Jun 12, 2023
Last Updated
Jun 12, 2023

Practice Location

Address
60 ACADEMY RD
City
Albany
ZIP Code
12208-3103
Phone
(518) 380-4766

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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