Provider Demographics
NPI:1437596319
Name:DIGGES, DEVON MICHAEL
Entity type:Individual
Prefix:
First Name:DEVON
Middle Name:MICHAEL
Last Name:DIGGES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 S ORANGE ST
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95380-5312
Mailing Address - Country:US
Mailing Address - Phone:209-417-9593
Mailing Address - Fax:
Practice Address - Street 1:2147 ABBOTT ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92107-2031
Practice Address - Country:US
Practice Address - Phone:619-923-1920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion