SearchCalifornia363LF0000X

Shannon Devita, DNP

NPI 1750755617 · on the registry since 2015

Practice

Address
975 Garnet Ave
San Diego, CA 92109
Phone
(858) 230-7770
Clinicians at this address
2

Additional practice sites

  • 402 W Broadway Ste 400, San Diego, CA

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
363LP0200X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-08-21

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 California