Individual
DEVIN WAYNE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5688 ELM AVE, SAN BERNARDINO, CA 92404-2916
(909) 534-9814
Mailing address
5688 ELM AVE, SAN BERNARDINO, CA 92404-2916
(909) 534-9814
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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