Asha Devereaux,md,mph Prof Corp

NPI 1053597641 - Specialist - 174400000X

NPI Details
NPI 1053597641
Enumeration Date 01/14/2008
Last Updated 01/14/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name ASHA V ASHA
Position PRESIDENT
Phone (619) 435-4203
Fax
Practice Location
1224 10TH ST
STE 205
CORONADO CA, 92118-3416, US
Phone (619) 435-4203
Fax
Business Location
1224 10TH ST
STE 205
CORONADO CA, 92118-3416, US
Phone (619) 435-4203
Fax
Toxanomy
Taxonomy Code 174400000X
License State California
License Number A51614
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According to our database, Asha Devereaux,md,mph Prof Corp NPI is 1053597641, taxonomy code is 174400000X and license number is A51614, license state is located at California. Asha Devereaux,md,mph Prof Corp physically located at 1224 10th St, Coronado CA, 92118-3416. NPI Number 1033115704 has the healthcare provider type.

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1053597641 NPI number is provided on an as is basis without warranty of any kind. 1053597641 is maintained by the National Plan & Provider Enumeration System. The contents of Asha Devereaux,md,mph Prof Corp are for informational purposes only.