Individual provider · Type 1 NPI

Destiny Imani Dula

Student in an Organized Health Care Education/Training Program · Winston Salem, NC

NPI number 1609692938 Active

Practice location

601 S Martin Luther King Jr Dr
Winston Salem, NC 27110-0003

Call (336) 750-2000 Map

Mailing address

2854 Quincy Dr
Winston Salem, NC 27106-4504

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609692938

Destiny Imani Dula's National Provider Identifier is 1609692938, issued on Dec 2, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Winston Salem, NC. The record was last updated on Dec 2, 2024.