DESTINY RAZO

Rehabilitation Practitioner

Active Individual
NPI: 1114602075

Practice Address

40 W G ST
Los Banos, CA 93635

Phone: (209) 381-6800

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X No -
Rehabilitation Practitioner 225400000X Yes -

Frequently Asked Questions

NPI 1114602075 is the National Provider Identifier for DESTINY RAZO, a Rehabilitation Practitioner provider located in Los Banos, CA. This NPI was enumerated on June 19, 2023.
DESTINY RAZO practices at 40 W G ST, Los Banos, CA 93635.

Quick Facts

NPI
1114602075
Type
Individual
Enumerated
Jun 19, 2023
Last Updated
Jun 9, 2025

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