NINAH DIVINE

MILWAUKEE, WI
NPI1174104590
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-16
Last Update Date2024-11-01
Business Address
NINAH DIVINE MD
930 W HISTORIC MITCHELL ST
MILWAUKEE, WI 53204-3533
Phone number: 414-383-9526
Mailing Address
NINAH DIVINE MD
930 W HISTORIC MITCHELL ST
MILWAUKEE, WI 53204-3533
Phone number: