Individual
DEVON MCCLUSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6315 W PORT AU PRINCE LN, GLENDALE, AZ 85306-3217
(623) 412-4550
Mailing address
6315 W PORT AU PRINCE LN, GLENDALE, AZ 85306-3217
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
284699
AZ
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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