DIVINE GRACE LLC

GLENDALE, AZ
NPI1801516687
Entity TypeOrganization
Authorized ContactSHARON UCHECHI JOSHUA
Np Bc
602-621-7561
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2022-08-31
Last Update Date2024-12-04
Business Address
DIVINE GRACE LLC
6751 N SUNSET BLVD STE 320
GLENDALE, AZ 85305-3155
Phone number: 602-621-7561
Mailing Address
DIVINE GRACE LLC
6751 N SUNSET BLVD STE 320
GLENDALE, AZ 85305-3155
Phone number: 602-621-7561