| NPI | 1780286732 |
|---|---|
| Doing Business As | DIVERSITY HEALTH CLINIC, LLC |
| Entity Type | Organization |
| Authorized Contact | AKUKENG W. MBA Nurse Practitioner 301-793-4761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2020-11-13 |