Individual
FELICIA DAVENPORT-DEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSW
Contact information
Practice address
3301 SOUTHERN BLVD SE STE 105, RIO RANCHO, NM 87124-5859
(505) 270-0840
Mailing address
3301 SOUTHERN BLVD SE STE 105, RIO RANCHO, NM 87124-5859
(505) 270-0840
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1058
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122345891
—
NM
Enumeration date
07/08/2022
Last updated
07/08/2022
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