Search › Pennsylvania › 101YP2500X
Antonina Deverue
NPI 1235990789 · on the registry since 2024
Practice
- Address
- 4641 E Roosevelt Blvd
Philadelphia, PA 19124 - Phone
- (215) 831-2962
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania