Individual provider · NPI-1

Jessica Devine

Technician/Technologist · Tampa, FL

NPI number1134930829
StatusActive
Last updated in NPPESJan 14, 2025

Details

NPI
1134930829
Entity type
Individual (NPI-1)
Name
Jessica Devine
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 14, 2025
Certification date
Jan 14, 2025
Last updated
Jan 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156F00000X Technician/Technologist––Yes

Practice location

3100 E Fletcher Ave
Tampa, FL 33613-4613

Phone 813-615-7835

Mailing address

3100 E Fletcher Ave
Tampa, FL 33613-4613

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