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Organization

DIVERGENT HEALTH WELLNESS-NURSE PRACTITIONER IN ADULT HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DUMADI FERNANDEZ NP (OWNER)
(716) 333-8761
Entity
Organization

Contact information

Practice address
50 FOUNTAIN PLZ, BUFFALO, NY 14202-2230
(716) 333-8761
(716) 271-9177
Mailing address
PO BOX 1448, AMHERST, NY 14226-7448
(716) 333-8761
(716) 271-9177

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
04/26/2022
Last updated
04/26/2022
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