Search › Michigan › 253Z00000X
Destiny Countryman
NPI 1205667730 · on the registry since 2024 · sole proprietor
Practice
- Address
- 22225 Fenkell St
Detroit, MI 48223 - Phone
- (313) 900-1326
Registry record
- Primary taxonomy
- 253Z00000X
253Z00000X
- Sex
- Female
- Record last updated
- 2024-08-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan