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Individual

DR. AUDRA DEVEIKIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(562) 933-8590
(562) 933-8093
Mailing address
1536 W 25TH ST, PMB 163, SAN PEDRO, CA 90732-4455
(562) 933-8590
(562) 933-8093

Taxonomy

Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
A40896
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A408960
CA
Enumeration date
09/22/2006
Last updated
12/11/2018
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