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Individual

IDAMAE DEVERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1209 GRANT AVE STE 2F, PHILADELPHIA, PA 19115-3706
(215) 676-2104
(215) 673-2701
Mailing address
1209 GRANT AVE STE 2F, PHILADELPHIA, PA 19115-3706
(215) 676-2104
(215) 673-2701

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
107249
PA
174H00000X
Health Educator
Primary
107249
PA

Other

Enumeration date
04/18/2023
Last updated
04/18/2023
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