DEVERY MANDAGIE

SAN DIEGO, CA
NPI1801927157
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WG0000X Registered Nurse, General Practice
(Licence: CA  556258)
Enumeration Date2007-03-08
Last Update Date2007-07-08
Business Address
Mrs. DEVERY MANDAGIE RN PHN
3851 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8610
Mailing Address
Mrs. DEVERY MANDAGIE RN PHN
2405 CHICAGO ST
SAN DIEGO, CA 92110-4106
Phone number: