| NPI | 1225412869 |
|---|---|
| Former Name | DEVAN MARISSA RAGG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA58731) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA057655) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2023-12-25 |