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Destiny Douglas Doe

NPI 1518392208 · on the registry since 2013 · sole proprietor

Practice

Address
658 Fairview Ave
Takoma Park, MD 20912
Phone
(202) 427-8967

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
DC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-09-12

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 Maryland