MRS. Jessica Lynn Devereaux, R.D.
NPI #1598894578 in Port Jefferson, New York
Provider Information
- NPI Number
- 1598894578
- Entity Type
- Individual
- Name
- MRS. Jessica Lynn Devereaux, R.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Credential
- R.D.
- Enumeration Date
- Mar 5, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 200 BELLE TERRE RD
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777-1928
- Phone
- (631) 474-6492
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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