Individual
MR. DAVID MELTON DEVERICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
8418 VARINA RD, RICHMOND, VA 23231-8242
(804) 795-2454
Mailing address
8418 VARINA RD, RICHMOND, VA 23231-8242
(804) 795-2454
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
0001163041
VA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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