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MS. AMALVIA DIVENTURA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NJ CERTIFIED HHA

Contact information

Practice address
100 SPRINGDALE ROAD, A3-221, CHERRY HILL, NJ 08003
(609) 980-8420
Mailing address
AMALVIA DIVENTURA, PO BOX 2284, HADDONFIELD, NJ 08033-0951
(609) 980-8420

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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