Destaine Dewey

NPI #1306489299 in Dayton, Nevada

Provider Information

NPI Number: 1306489299
Entity Type: Individual
Name: Destaine Dewey
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Oct 23, 2019
Last Updated: Oct 23, 2019

Practice Location

Address: 5 PINE CONE RD STE 102
City: Dayton
State: Nevada
ZIP Code: 89403-6309
Phone: (775) 246-6214

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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