Individual
NATALIA A DEVORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2910 39TH ST APT A, TWO RIVERS, WI 54241-1353
(262) 339-4049
Mailing address
2910 39TH ST APT A, TWO RIVERS, WI 54241-1353
(262) 339-4049
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
330563
WI
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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