Individual
MISS DEVON COURTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
502 LANTANA DR, HOCKESSIN, DE 19707-8813
(302) 763-3455
Mailing address
109 NANTUCKET DR, MIDDLETOWN, DE 19709-8987
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C5-0001043
DE
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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