Organization
DIVINE HOLISTIC CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRIETHA IWOBI NP (OWNER)
(424) 200-9015
Entity
Organization
Contact information
Practice address
13532 1/2 CHADRON AVE, HAWTHORNE, CA 90250-7822
(424) 200-9015
(855) 214-7520
Mailing address
13532 1/2 CHADRON AVE, HAWTHORNE, CA 90250-7822
(424) 200-9015
(855) 214-7520
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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