Destiny Shane Newsome

NPI #1902548514 in Delbarton, West Virginia

Provider Information

NPI Number
1902548514
Entity Type
Individual
Name
Destiny Shane Newsome
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician - Personal Care Attendant
Enumeration Date
Apr 13, 2022
Last Updated
Apr 13, 2022

Practice Location

Address
140 ELMWOOD DR
ZIP Code
25670-9690
Phone
(606) 625-1996

Specialties & Taxonomy Codes

Specialty
Technician - Personal Care AttendantPersonal Care Attendant

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