Individual
DONOVAN SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1 QUALITY DR, VACAVILLE, CA 95688-9494
(707) 624-1833
Mailing address
1131 YOUNT ST, NAPA, CA 94559-1802
(707) 259-1541
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
38935
CA
Other
Enumeration date
09/19/2015
Last updated
02/11/2022
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