DIVINE GRACE LLC

PHOENIX, AZ
NPI1801516687
Entity TypeOrganization
Authorized ContactSHARON UCHECHI JOSHUA
Np C
602-621-7561
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2022-08-31
Last Update Date2022-08-31
Business Address
DIVINE GRACE LLC
9117 W VIRGINIA AVE
PHOENIX, AZ 85037-4233
Phone number: 602-621-7561
Mailing Address
DIVINE GRACE LLC
9117 W VIRGINIA AVE
PHOENIX, AZ 85037-4233
Phone number: