Individual
DEZALYN ANN DEVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
908 TUOLUMNE ST, VALLEJO, CA 94590-4641
(707) 648-8121
(707) 648-8129
Mailing address
908 TUOLUMNE ST, VALLEJO, CA 94590-4641
(707) 648-8121
(707) 648-8129
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/06/2017
Last updated
05/04/2017
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