Individual
DR. JESSE R. DEVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
303 E VANDERBILT WAY, SAN BERNARDINO, CA 92415-0026
(909) 388-0810
(909) 890-2081
Mailing address
303 E VANDERBILT WAY, SAN BERNARDINO, CA 92415-0026
(909) 388-0810
(909) 890-2081
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A41881
CA
2084P0800X
Psychiatry Physician
Primary
A41881
CA
Other
Enumeration date
02/09/2007
Last updated
01/05/2017
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