Organization
DIVINE GENESIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL CLEAVER CLD, HCHD (OWNER, DOULA)
(720) 675-8343
Entity
Organization
Contact information
Practice address
10164 RIVERSTONE DR, PARKER, CO 80134-9164
(720) 675-8343
Mailing address
10164 RIVERSTONE DR, PARKER, CO 80134-9164
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
CO
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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