Healthcare Provider Details
I. General information
NPI: 1790960896
Provider Name (Legal Business Name): DEVON R FRANCIS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/08/2008
Last Update Date: 11/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
45 NEILSON ST
WATSONVILLE CA
95076-2468
US
IV. Provider business mailing address
195 AVIATION WAY, SUITE 200 SALUD PARA LA GENTE
WATSONVILLE CA
95076
US
V. Phone/Fax
- Phone: 831-728-0222
- Fax: 831-707-2777
- Phone: 831-728-8250
- Fax: 831-768-7693
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | A103163 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: