Organization
DIVINE MEDIC TRANSPORT
Active
Organization
DIVINE MEDIC TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KADIATU DUMBUYA (PARTNER)
(571) 432-6533
Entity
Organization
Contact information
Practice address
13661 CRIDERCREST PL APT 204, WOODBRIDGE, VA 22191-1989
(571) 432-6533
Mailing address
13661 CRIDERCREST PL APT 204, WOODBRIDGE, VA 22191-1989
(571) 432-6533
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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