Individual
DIVINE MUKAMISHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3424 N MARSHALL RD APT 111, KETTERING, OH 45429-3646
(937) 449-3870
Mailing address
3424 N MARSHALL RD APT 111, KETTERING, OH 45429-3646
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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