Doctor Name: | MRS. REENA DEVARAJ |
NPI Number: | 1962677146 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | A118890 |
Business Practice Address: | 16420 Perris Blvd Ste Q Moreno Valley, CA - 925511136 |
Business Phone Number: | 9515712450 |
Business Fax Number: | 9155712455 |
Mailing Address: | 16420 Perris Blvd Ste Q, MORENO VALLEY |
State: | CA |
Postal Code: | 925511136 |
Phone Number: | 9515712450 |
Fax Number: | 9155712455 |
NPI Enumeration Date: | 04/28/2008 |
NPI Last Update Date: | 09/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | A118890 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |