Individual
MRS. JESSICA MARIE DEVITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
625 W WASHINGTON AVE, MADISON, WI 53703-2637
(608) 251-1838
Mailing address
939 UNIVERSITY BAY DR, MADISON, WI 53705-2248
(608) 239-4880
(608) 251-2184
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13917040
WI
183500000X
Pharmacist
16613
CO
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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