Individual
MR. DEVON GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002
(858) 552-8585
Mailing address
3857 PELL PL UNIT 316, SAN DIEGO, CA 92130-4142
(858) 386-2319
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95225592
CA
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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