Divine Health and Wellness, LLC

NPI #1790528164 in Sapulpa, Oklahoma

Provider Information

NPI Number
1790528164
Entity Type
Organization
Organization Name
Divine Health and Wellness, LLC
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
Jun 14, 2024
Last Updated
Jun 14, 2024

Practice Location

Address
16 S WATER ST
ZIP Code
74066-4232
Phone
(918) 347-9022

Authorized Official

Name
SAMANTHA A BRYAN
Title
DIRECTOR
Phone
(918) 510-4349

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service

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