Wynn, Devonda Chantal

Wynn, Devonda Chantal is an sole proprietor health care provider with primary practice located at 16800 Imperial Valley Dr Ste 280 , Houston TX 77060-3161. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Phlebotomy, which is considered as her primary health care specialty. Wynn, Devonda Chantal can be contacted via phone (832) 910-7304.

Contact Information

Primary practice address
16800 Imperial Valley Dr Ste 280 Houston TX 77060-3161
Phone: (832) 910-7304
Fax: (832) 565-1193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X CPT19-7289 Texas

Profile Details

NPI number 1902444730
LBN Legal business name Wynn, Devonda Chantal
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2019
Last updated Dec 11th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902444730 NPPES
Texas Other 00000 COMERCIAL INSURANCE

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