Individual
DEVIN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 744-5393
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 744-5393
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28164883A
IN
390200000X
Student in an Organized Health Care Education/Training Program
28164883A
IN
Other
Enumeration date
11/21/2012
Last updated
01/26/2015
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