Childress, Destiny Unique

Childress, Destiny Unique is an sole proprietor health care provider with primary practice located at 3132 Jefferson St , San Diego CA 92110-4421. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Childress, Destiny Unique can be contacted via phone (619) 683-3100.

Contact Information

Primary practice address
3132 Jefferson St San Diego CA 92110-4421
Fax:
Website:

Profile Details

NPI number 1124870159
LBN Legal business name Childress, Destiny Unique
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2024
Last updated Apr 3rd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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