Individual
DIVINE ANYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HHA
Contact information
Practice address
6436 BRIGHTLEA DR, LANHAM, MD 20706-2850
(202) 292-7700
Mailing address
6436 BRIGHTLEA DR, LANHAM, MD 20706-2850
(202) 292-7700
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
About Stedi
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