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Devan Thomas Wise
Student in an Organized Health Care Education/Training Program in Lynchburg, Virginia
NPI 1811520141

Devan Thomas Wise is a Student in an Organized Health Care Education/Training Program based in Lynchburg, VA. Devan Thomas Wise practices in Lynchburg, VA. The NPI Number for Devan Thomas Wise is 1811520141 and holds a License No. (Virginia).

The current practice location address for Devan Thomas Wise is 3100 Weeping Willow Dr Apt J, Lynchburg, VA and can be reached out via phone at 828-545-8859.

Location: 3100 Weeping Willow Dr Apt J, Lynchburg, VA, 24501-3972
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811520141
Provider Name
Devan Thomas Wise
Credential
Provider Entity Type
Individual
Gender
Male
Address
3100 Weeping Willow Dr Apt J, Lynchburg, VA, 24501-3972
Phone Number
828-545-8859
Fax Number
Provider Enumeration Date
02/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3100 Weeping Willow Dr Apt J
City
Lynchburg
State
Virginia
Zip
24501-3972
Phone Number
828-545-8859
Fax Number
person
Provider Business Mailing Address Details
Address
3100 Weeping Willow Dr Apt J
City
Lynchburg
State
Virginia
Zip
24501-3972
Phone Number
828-545-8859
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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