Individual
DEVYN WHITCANACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15770 BLUECHIP CIR, MORENO VALLEY, CA 92551-4665
(951) 229-2829
Mailing address
15770 BLUECHIP CIR, MORENO VALLEY, CA 92551-4665
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
835165
CA
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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