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Individual
TONJA MARIE DEVOLGADO
Active
Individual
TONJA MARIE DEVOLGADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024177680
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
0024177680
VA
363LA2200X
Adult Health Nurse Practitioner
0024177680
VA
363LG0600X
Gerontology Nurse Practitioner
0024177680
VA
Other
Enumeration date
01/06/2020
Last updated
12/09/2021
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