Individual
SERENA DEVERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
225 37TH AVE, SAN MATEO, CA 94403-4324
(510) 919-0186
Mailing address
225 37TH AVE, SAN MATEO, CA 94403-4324
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95022407
CA
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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