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Search › Michigan › 174400000X

Destiny Peterson

NPI 1366831273 · on the registry since 2015 · sole proprietor

Practice

Address
21415 Civic Center Dr Ste 209
Southfield, MI 48076
Phone
(248) 703-2889
Organisation at this address
M-Care Inc
Sincere Hearts Llc
Hospice Advantage, Inc
Mobil Visiting Professional, Inc.
Transformation Medical Services, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-01-15

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