Individual
MRS. AMY LOUISE DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 CALLE PORTAL STE 100, SIERRA VISTA, AZ 85635
(520) 515-8673
(520) 515-8663
Mailing address
155 CALLE PORTAL STE 100, SIERRA VISTA, AZ 85635-2900
(520) 515-8673
(520) 515-8663
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S020485
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AHP215208
ACE AMERICAN INSURANCE COMPANY PHILADELPHIA, PA
TX
Enumeration date
06/08/2009
Last updated
08/09/2018
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