Organization · Type 2 NPI
Divine Infusion
Infusion Therapy Registered Nurse · West Covina, CA
NPI number
1104411628
Active
Practice location
801 E Mobeck St Apt 801B
West Covina, CA 91790-4700
Fax (626) 412-4414
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Infusion Therapy Registered Nurse Primary | 163WI0500X | None listed |
| Home Infusion Agency | 251F00000X | None listed |
Infusion Therapy Registered Nurse: Definition to come...
About NPI 1104411628
Divine Infusion's National Provider Identifier is 1104411628, issued on Mar 5, 2021. The primary taxonomy on file is Infusion Therapy Registered Nurse (163WI0500X), and the practice location is in West Covina, CA. The record was last updated on Mar 5, 2021.