DIVINE C NFOR

LAUREL, MD
NPI1346831971
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy376K00000X Nurse's Aide
Enumeration Date2021-01-27
Last Update Date2021-01-27
Business Address
DIVINE C NFOR
14111 RIVERBIRCH CT
LAUREL, MD 20707-9484
Phone number: 702-418-9063
Mailing Address
DIVINE C NFOR
14111 RIVERBIRCH CT
LAUREL, MD 20707-9484
Phone number: 702-418-9063