DEVAN WAYNE VIDRINE

LOS ANGELES, CA
NPI1972208122
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-04-04
Last Update Date2024-06-07
Business Address
Dr. DEVAN WAYNE VIDRINE MD
757 WESTWOOD PLZ
LOS ANGELES, CA 90095-0001
Phone number: 310-825-9111
Mailing Address
Dr. DEVAN WAYNE VIDRINE MD
757 WESTWOOD PLZ
LOS ANGELES, CA 90095-8358
Phone number: 310-825-9111