Organization
DIVINITY DIAGNOSTIC & WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATEDA T WILLIAMS CMA (OWNER)
(504) 274-6023
Entity
Organization
Contact information
Practice address
2002 20TH ST STE B202, KENNER, LA 70062-4403
(504) 667-3641
Mailing address
2002 20TH ST STE B202, KENNER, LA 70062-4403
(504) 667-3641
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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