Individual
ROSE B DEVALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
307 TRENT DR, DURHAM, NC 27710-3038
(224) 545-1690
Mailing address
10202 NEW BEDFORD CT, LAKESIDE, CA 92040-2352
(224) 545-1690
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN9586378
FL
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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