Organization
DIVINE DIETS, LLC
Active
Other names
Divine Living, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIVYA L SELVAKUMAR PHD, RD (CO-OWNER)
(443) 761-9890
Entity
Organization
Contact information
Practice address
8405 PAMELA WAY, N/A, LAUREL, MD 20723
(443) 761-9890
Mailing address
8405 PAMELA WAY, N/A, LAUREL, MD 20723
(443) 761-9890
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
04/01/2024
Last updated
05/08/2024
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