DESTINY MEDINA

DIXON, IL
NPI1184218703
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: IL  04191066)
Enumeration Date2021-02-24
Last Update Date2021-02-24
Business Address
DESTINY MEDINA
325 ILLINOIS RT 2
DIXON, IL 61021-9118
Phone number: 815-284-6611
Mailing Address
DESTINY MEDINA
325 ILLINOIS RT 2
DIXON, IL 61021-9118
Phone number: