Jennifer Diviche

NPI #1548882145 in Midland, Texas

Provider Information

NPI Number
1548882145
Entity Type
Individual
Name
Jennifer Diviche
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse
Enumeration Date
May 18, 2020
Last Updated
May 18, 2020

Practice Location

Address
803 S ATLANTA ST
State
Texas
ZIP Code
79701-8267
Phone
(432) 813-8820

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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