Individual
DEVAN RILEY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3415 STONEHALL CT, CALVERTON, MD 20705-1075
(301) 602-6181
Mailing address
3415 STONEHALL CT, CALVERTON, MD 20705-1075
(301) 602-6181
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R156411
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R156411
NURSING LICENSE
MD
Enumeration date
03/06/2023
Last updated
03/06/2023
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