MR. DIVINE DAVIS
Community Health Worker
Active
Individual
NPI: 1629542121
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Health Worker | 172V00000X | No | - |
Frequently Asked Questions
NPI 1629542121 is the National Provider Identifier for MR. DIVINE DAVIS, a Community Health Worker provider located in Bronx, NY. This NPI was enumerated on January 17, 2019.
MR. DIVINE DAVIS practices at 350 E 143RD ST APT 5B, Bronx, NY 10454.
Quick Facts
- NPI
- 1629542121
- Type
- Individual
- Enumerated
- Jan 17, 2019
- Last Updated
- Jan 17, 2019
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