Individual
MARY DEVEREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
845 CENTURY MEDICAL DR STE B, TITUSVILLE, FL 32796-2157
(321) 529-6202
(321) 802-6864
Mailing address
95 BULLDOG BLVD STE 202, MELBOURNE, FL 32901-3188
(321) 727-2990
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP3980
FL
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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