Organization
DIVINITY HEALTH & WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEXTERIA REBECCA JENKINS RN (PRESIDENT)
(336) 225-1079
Entity
Organization
Contact information
Practice address
2671 DALLAS DR, WINSTON SALEM, NC 27107-4446
(769) 218-8891
Mailing address
2671 DALLAS DR, WINSTON SALEM, NC 27107-4446
(769) 218-8891
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/04/2021
Last updated
02/21/2022
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