Individual
DR. DIVINE NYIAWUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2051 HALL JOHNSON RD, GRAPEVINE, TX 76051-8735
(817) 410-8808
Mailing address
2051 HALL JOHNSON RD, GRAPEVINE, TX 76051-8735
(817) 410-8808
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
54205
TX
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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