Jay De Vera is a Specialist based in Clinton, NC. Jay De Vera practices in Clinton, NC. The NPI Number for Jay De Vera is 1366870347 and holds a License No. P12962 (North Carolina).
The current practice location address for Jay De Vera is 417 W Elizabeth St Apt A, Clinton, NC and can be reached out via phone at 443-562-7065.
Location: 417 W Elizabeth St Apt A, Clinton, NC, 28328-4465
Provider Profile Details
NPI Number
1366870347
Provider Name
Jay De Vera
Credential
Provider Entity Type
Individual
Gender
Male
Address
417 W Elizabeth St Apt A, Clinton, NC, 28328-4465
Phone Number
443-562-7065
Fax Number
Provider Enumeration Date
10/29/2013
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
417 W Elizabeth St Apt A
City
State
Zip
28328-4465
Phone Number
443-562-7065
Fax Number
Provider Business Mailing Address Details
Address
417 W Elizabeth St Apt A
City
State
Zip
28328-4465
Phone Number
443-562-7065
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
P12962 (North Carolina)
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.
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