DESTINY MOOTY

DAYTON, OH
NPI1942781182
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  168599)
Enumeration Date2018-08-26
Last Update Date2023-06-05
Business Address
DESTINY MOOTY
475 EASTDALE DR
DAYTON, OH 45415-2913
Phone number: 937-626-6868
Mailing Address
DESTINY MOOTY
4950 NORTHCUTT PL
DAYTON, OH 45414-3840
Phone number: 937-496-2020