CorpID/LocID

Practitioner List:

 DIVINE HEALTHCARE SERVICES, INC.
 405 West Manchester Boulevard, Suite A,
 Inglewood, CA  90301

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First NameLast NamePractitioner TypeNPICalifornia License NumberCalifornia License TypeCultural Competence Training
CORARAMIREZ-VASQUEZ Licensed Marriage and Family Therapist (LMFT) 1871618496LMFT47818Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
MARVABOOD Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 1851629752ASW93854Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
SIAMAKMARZBAN Physician (MD or DO) 1164447959A48221Medical Board of California (MD or DO)Yes
WINIFREDEZENWA Nurse Practitioner (NP) 1265995260NP95010908California Board of Registered Nursing (NP and RN)Yes