Individual
EVA DEVIENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
419 W REDWOOD ST, SUITE 420, BALTIMORE, MD 21201-1734
(410) 328-6653
Mailing address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4800
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
27561
WV
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
D0089161
MD
390200000X
Student in an Organized Health Care Education/Training Program
255631
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2013
Last updated
05/27/2021
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