Organization
J&C DIVINE HEALTH SERVICES LIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARTU NYLANDER (OWNER)
(443) 804-6808
Entity
Organization
Contact information
Practice address
9902 TAILSPIN LN APT E, MIDDLE RIVER, MD 21220-2617
(443) 804-6808
Mailing address
9902 TAILSPIN LN APT E, MIDDLE RIVER, MD 21220-2617
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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