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Individual
MRS. DEVON MARIE RUTHERFORD
Active
Individual
MRS. DEVON MARIE RUTHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110003616
VA
363A00000X
Physician Assistant
Primary
25MP00369700
NJ
363AM0700X
Medical Physician Assistant
C0004496
MD
363AM0700X
Medical Physician Assistant
PA60863546
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17900666397
—
NJ
Enumeration date
09/06/2011
Last updated
05/19/2025
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