NPI | 1922858042 |
---|---|
Doing Business As | DIVINE MED SPA & CLINIC |
Entity Type | Organization |
Authorized Contact | ADELINE PIERRE Owner 954-681-1470 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2024-03-22 |
Last Update Date | 2024-06-07 |