| NPI | 1629843016 |
|---|---|
| Doing Business As | DIVINE MEDICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | CHINELO J OKONKWO Independent Practitiner Pa C 410-905-5640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2023-11-16 |