Individual
RACHAEL DEVORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
COAST GUARD ISLAND BLDG 1, ALAMEDA, CA 94501
(510) 437-3582
Mailing address
COAST GUARD ISLAND BLDG 1, ALAMEDA, CA 94501
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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