Organization
JUST DIVINE MEDICLINIC & MEDISPA ,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONDRA ROBINSON NP (COO)
(832) 319-0696
Entity
Organization
Contact information
Practice address
21650 ALDINE WESTFIELD RD, HUMBLE, TX 77338-1092
(832) 319-0696
(659) 234-3758
Mailing address
PO BOX 60023, HOUSTON, TX 77205-0023
(832) 319-0696
(659) 234-3758
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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