Individual
DEVAN DEANNE BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6968 27TH ST, RIVERSIDE, CA 92509-1500
(951) 288-0387
Mailing address
6968 27TH ST, RIVERSIDE, CA 92509-1500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95361606
CA
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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