Individual
MS. AMALVIA DIVENTURA
Active
Individual
MS. AMALVIA DIVENTURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NJ CERTIFIED HHA
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
26NH19125800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0450695975
NJ DEPT OF TREAS DIV OF REVENUE & ENTERPRISE SERVICES
NJ
01
—
2018122P
ACA AMERICAN CAREGIVER ASSOCIATION NCCHHA
NJ
01
—
26NH19125800
NJ BOARD OF NURSING HHA CERTIFICATION
NJ
Enumeration date
07/24/2023
Last updated
07/24/2023
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