SHANE CHRISTOPHER DAVIS

SAN DIEGO, CA
NPI1760173157
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171000000X Military Health Care Provider
Enumeration Date2023-05-16
Last Update Date2025-10-29
Business Address
SHANE CHRISTOPHER DAVIS
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1854
Phone number: 714-727-9366
Mailing Address
SHANE CHRISTOPHER DAVIS
1141 THOMAS AVE
SAN DIEGO, CA 92109-4152
Phone number: 714-727-9366