DIVINE DAVIS

BRONX, NY
NPI1629542121
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2019-01-17
Last Update Date2019-01-17
Business Address
Mr. DIVINE DAVIS
350 E 143RD ST APT 5B
BRONX, NY 10454-1244
Phone number: 646-303-0863
Mailing Address
Mr. DIVINE DAVIS
350 E 143RD ST APT 5B
BRONX, NY 10454-1244
Phone number: 646-303-0863
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