Individual
DEVIN S LOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE
Contact information
Practice address
2600 REDONDO AVE FL 3, LONG BEACH, CA 90806-2325
(562) 256-2900
Mailing address
2600 REDONDO AVE FL 3, LONG BEACH, CA 90806-2325
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
563577
CA
Other
Enumeration date
02/27/2013
Last updated
09/12/2023
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