Individual
DEIRDRE SHAWNA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
950 S EUCLID AVE, SAN DIEGO, CA 92114-6201
(619) 662-4100
Mailing address
950 S EUCLID AVE, SAN DIEGO, CA 92114-6201
(619) 662-4100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A165432
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/03/2018
Last updated
08/31/2021
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