Individual
DEVANTE ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1429 ZACHERY CT, COVINGTON, LA 70435-8507
(225) 284-6275
Mailing address
1429 ZACHERY CT, COVINGTON, LA 70435-8507
(225) 284-6275
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
172A00000X
LA
Other
Enumeration date
10/15/2025
Last updated
10/24/2025
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