Individual
MRS. JACQUELINE DEVERA THEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RCP
Contact information
Practice address
10002 SAN JUAN ST APT 4, SPRING VALLEY, CA 91977-1639
(619) 346-5855
Mailing address
10002 SAN JUAN ST APT 4, SPRING VALLEY, CA 91977-1639
(619) 346-5855
Taxonomy
Speciality
Code
Description
License number
State
2278E1000X
Educational Certified Respiratory Therapist
00027191
CA
2279E1000X
Educational Registered Respiratory Therapist
Primary
00027191
CA
Other
Enumeration date
09/05/2008
Last updated
09/11/2014
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