Individual
DONOVAN SHREVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30596 STEEPLECHASE DR, SAN JUAN CAPISTRANO, CA 92675-1920
(949) 500-9843
Mailing address
30596 STEEPLECHASE DR, SAN JUAN CAPISTRANO, CA 92675-1920
(949) 500-9843
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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