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Individual

DIVINE ABEI ESSEM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
REGISTERED NURSE

Contact information

Practice address
11312 EVANS TRL APT 101, BELTSVILLE, MD 20705-3008
(240) 421-5901
Mailing address
11310 EVANS TRL, APT 102, BELTSVILLE, MD 20705-3007

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1055512
DC
164W00000X
Licensed Practical Nurse
LP40279
MD

Other

Enumeration date
08/05/2007
Last updated
02/20/2021
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