DIVINE E OSEPHODE

CAPITOLA, CA
NPI1336986066
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  95262916)
Enumeration Date2024-07-10
Last Update Date2024-07-10
Business Address
DIVINE E OSEPHODE
501 PLUM ST APT 31
CAPITOLA, CA 95010-2233
Phone number: 414-378-5878
Mailing Address
DIVINE E OSEPHODE
501 PLUM ST APT 31
CAPITOLA, CA 95010-2233
Phone number: