Individual
ADOLPHINE DIWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
702 RUSSELL AVE STE 306, GAITHERSBURG, MD 20877-2606
(301) 956-6141
Mailing address
702 RUSSELL AVE STE 306, GAITHERSBURG, MD 20877-2606
(301) 956-6141
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
R03788
MD
376K00000X
Nurse's Aide
A00198292
MD
Other
Enumeration date
02/16/2022
Last updated
01/24/2026
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