Individual
DR. DEETTE DEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16319 THIRD STREET, GUERNEVILLE, CA 95446
(707) 869-2849
(707) 869-5983
Mailing address
PO BOX 1449, GUERNEVILLE, CA 95446-1449
(707) 869-5977
(707) 869-5983
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
230655
NY
207Q00000X
Family Medicine Physician
Primary
A73739
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356344758
—
CA
Enumeration date
05/20/2008
Last updated
07/01/2015
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