Search › New Mexico › 103TC0700X
Destiny Waggoner, PH.D
NPI 1235582727 · on the registry since 2016
Practice
- Address
- 306 San Pablo St Se
Albuquerque, NM 87108 - Phone
- (505) 272-0415
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-07-05
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 New Mexico