DIVINE JIMLA

HYATTSVILLE, MD
NPI1124889431
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-01-23
Last Update Date2024-01-23
Business Address
DIVINE JIMLA Case Manager
6428 LANDING WAY
HYATTSVILLE, MD 20784-4619
Phone number: 301-442-1801
Mailing Address
DIVINE JIMLA Case Manager
6428 LANDING WAY
HYATTSVILLE, MD 20784-4619
Phone number: 301-442-1801