Organization
DIVINE ELECTROLYSIS LLC
Active
Other names
Divine Electrolysis
Organization subpart
No
Provider details
NPI number
Authorized official
ARACELI GADEA (OWNER/ OPERATOR)
(909) 952-8279
Entity
Organization
Contact information
Practice address
1525 S GROVE AVE STE 2, ONTARIO, CA 91761-4587
(951) 215-6065
(909) 752-7205
Mailing address
2924 E SAINT ANDREWS DR, ONTARIO, CA 91761-7549
(909) 952-8279
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
09/15/2024
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