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Individual
JOANN WEBBER DERVAY
Active
Individual
JOANN WEBBER DERVAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
0101056467
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6802303
—
VA
Enumeration date
04/17/2006
Last updated
09/15/2015
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