All Medicaid billing entities listing DIVINE, JENNIFER (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Colorado | 1 | $1.26M |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | DIVINE DERMATOLOGY AND SURGICAL INSTITUTE, PLLC | FORT COLLINS, CO | Medical Specialty Clinic/Center | $1.26M |