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Destiny Clark
NPI 1497462667 · on the registry since 2022 · sole proprietor
Practice
- Address
- 8496 Julia Marie Cir
Jacksonville, FL 32210 - Phone
- (904) 497-5484
- Organisation at this address
- D.S.C. Support Services Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Sex
- Female
- Record last updated
- 2022-10-27
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 Florida