DIVINE MEDICAL WELLNESS CENTER INC is a general practice in Fresno, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee DIVINE MEDICAL WELLNESS CENTER INC NPI is 1972920098. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Divine Medical Wellness Center.
The provider's business location address is:
5150 N 6TH ST STE 100
FRESNO, CA
ZIP 93710-505
Phone: (559) 222-5362
The provider's authorized official is Randall Lynn Roulund .
The authorized official title is President and has the following contact phone number (559) 222-5362.
The enumeration date for this NPI number is 3/26/2014 and was last updated on 3/26/2014.