Organization
DIVINE ENLIGHTENMENT HOLISTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAKEIA IVERY (MASSAGE THERAPIST)
(888) 706-8684
Entity
Organization
Contact information
Practice address
10722 ARROW RTE, SUITE 520, RANCHO CUCAMONGA, CA 91730-4808
(888) 706-8684
Mailing address
PO BOX 623, UPLAND, CA 91785-0623
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
43368
CA
364SH1100X
Holistic Clinical Nurse Specialist
43368
CA
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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