Deval Dave, PA Valid NPI

Individual provider · Physician Assistant · San Bernardino, CA

NPI

1013220458

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

21030 (CA)

Sex

Female

Sole proprietor

Yes

Enumerated

2010-07-14

Last updated

2021-10-11