Individual
TERESA ANN VAN DEVERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1060 ESTES ST, 104, EL CAJON, CA 92020-7515
(619) 631-0441
Mailing address
1060 ESTES ST, 104, EL CAJON, CA 92020-7515
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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