Individual
DEVINA NUTANA CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11500 SUMMIT WEST BLVD APT 43E, TEMPLE TERRACE, FL 33617-2358
(347) 418-2524
Mailing address
11500 SUMMIT WEST BLVD APT 43E, TEMPLE TERRACE, FL 33617-2358
(347) 418-2524
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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