| NPI | 1962219642 |
|---|---|
| Doing Business As | DEVINE FAMILY CARE PRACTICE |
| Entity Type | Organization |
| Authorized Contact | STELLA EBERE MBAH Chief Medical Officer 443-200-5338 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2024-12-16 |