Organization
DEVINE FAMILY CARE PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STELLA MBAH NP (CMO/OWNER)
(410) 963-9577
Entity
Organization
Contact information
Practice address
7131 LIBERTY RD STE 100, GWYNN OAK, MD 21207-4580
(410) 963-9577
(443) 200-5261
Mailing address
7131 LIBERTY RD STE 100, GWYNN OAK, MD 21207-4580
(410) 963-9577
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/09/2018
Last updated
09/12/2025
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