Most Relevant Information
Provider Data
NPI Number: | 1003403650 |
Provider Name: | DEVONTE LAMAR NEWBY |
Entity Type: | Individual |
Taxonomy Code: | 376J00000X |
Specialty: | Homemaker |
License Number: | TP833766 |
Most Important Dates
Enumeration Date: | 12/29/2020 |
Last Updated: | 12/29/2020 |
Provider Practice Location
6509 MARSOL RD APT 103
MAYFIELD HEIGHTS
OH
441243518
Practice Location Phone/Fax
Phone: | 2166472661 |
Fax: |
Provider Mailing Location
6509 MARSOL RD APT 103
MAYFIELD HEIGHTS
OH
441243518
Provider Mailing Phone/Fax
Phone: | 2166472661 |
Fax: |