Individual
DAVID MARK DEVORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
798 SENECA DR, ODENTON, MD 21113-3708
(410) 320-6374
Mailing address
798 SENECA DR, ODENTON, MD 21113-3708
(410) 320-6374
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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