Organization
DIVERGENT DIRECT PRIMARY CARE
Active
Other names
Divergent Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
TETSOMA TONWE (OWNER)
(302) 734-2444
Entity
Organization
Contact information
Practice address
1011 N WALNUT ST, MILFORD, DE 19963-1201
(302) 734-2444
(302) 493-5254
Mailing address
1011 N WALNUT ST, MILFORD, DE 19963-1201
(302) 734-2444
(302) 493-5254
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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