Individual
MONIQUE A DEVENS
Active
Individual
MONIQUE A DEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
C1-0010893
DE
208000000X
Pediatrics Physician
A109709
CA
208000000X
Pediatrics Physician
Primary
C10010893
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A109709
CA MEDICAL LISCENSE
CA
01
—
MD60287525
WA MEDICAL LICENSE
WA
Enumeration date
01/28/2010
Last updated
10/09/2019
Update your record
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