Individual
DEVENE PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3219 13TH ST NW, WASHINGTON, DC 20010-2409
(443) 743-5107
Mailing address
3219 13TH ST NW, WASHINGTON, DC 20010-2409
(443) 743-5107
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
PHI1881
DC
Other
Enumeration date
06/07/2023
Last updated
06/09/2023
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