DESTINY RAE KAMBICH

GRANTS PASS, OR
NPI1417662834
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2023-01-19
Last Update Date2024-11-19
Business Address
DESTINY RAE KAMBICH
1181 SW RAMSEY AVE
GRANTS PASS, OR 97527-5835
Phone number: 541-476-2373
Mailing Address
DESTINY RAE KAMBICH
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373