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Divine Mathes
NPI 1558071829 · on the registry since 2022 · sole proprietor
Practice
- Address
- 5101 John C Lodge Fwy
Detroit, MI 48202 - Phone
- (313) 577-4280
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-11-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan