Organization
DEVINE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY AKIDI (EXECUTIVE MANAGER)
(909) 450-9582
Entity
Organization
Contact information
Practice address
1439 CAROL DR, POMONA, CA 91767-4573
(909) 450-9582
Mailing address
101 W MISSION BLVD, SUITE 110-253, POMONA, CA 91766-1711
(909) 450-9582
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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