Individual
MR. DEVANTE MALCOLM TUSSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1217 1ST ST NW, ALBUQUERQUE, NM 87102-1529
(505) 766-5197
Mailing address
6101 SEQUOIA RD NW APT F01, ALBUQUERQUE, NM 87120-3421
(228) 369-8582
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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