Most Relevant Information
Provider Data
| NPI Number: | 1003564907 |
| Provider Name: | DESTINY MARIE NEWBERRY |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/10/2022 |
| Last Updated: | 07/11/2023 |
Provider Practice Location
1021 4TH ST
TAFT
CA
932682433
Practice Location Phone/Fax
| Phone: | 6617657025 |
| Fax: |
Provider Mailing Location
1021 4TH ST
TAFT
CA
932682433
Provider Mailing Phone/Fax
| Phone: | 6617657025 |
| Fax: |