Individual
THERESA S. DEVERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2828 PAA ST, HONOLULU, HI 96819-4430
(808) 432-5770
Mailing address
2828 PAA ST, HONOLULU, HI 96819-4430
(808) 432-5770
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD-15553
HI
207N00000X
Dermatology Physician
MD22922
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228920
—
OR
Enumeration date
07/31/2006
Last updated
06/02/2021
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