DLK1 LLC

SHERIDAN, WY
NPI1821809898
Entity TypeOrganization
Authorized ContactDIVYA KANNEGENTI
CEO
706-610-0440
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
Enumeration Date2025-01-17
Last Update Date2025-01-17
Business Address
DLK1 LLC
30 N GOULD ST STE R
SHERIDAN, WY 82801-6317
Phone number: 706-610-0440
Mailing Address
DLK1 LLC
30 N GOULD ST STE R
SHERIDAN, WY 82801-6317
Phone number:
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