Individual
DEANDRA DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12550 HESPERIA RD STE 100, VICTORVILLE, CA 92395-5873
(760) 241-6666
Mailing address
12550 HESPERIA RD STE 100, VICTORVILLE, CA 92395-5873
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
758237
CA
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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