Individual
DEVIN MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2080 S E ST, SAN BERNARDINO, CA 92408-2773
(909) 825-8989
Mailing address
9583 BEECHWOOD DR, ALTA LOMA, CA 91737-2217
(909) 565-9424
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124100383
—
CA
Enumeration date
11/05/2013
Last updated
11/05/2013
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