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Organization
KRISTI K DAVIS OD INC
Active
Organization
KRISTI K DAVIS OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI KAY DAVIS OD (OWNER)
(530) 222-7271
Entity
Organization
Contact information
Practice address
2515 PARK MARINA DR, SUITE 201, REDDING, CA 96001-2831
(530) 222-7271
(530) 222-5282
Mailing address
2515 PARK MARINA DR, SUITE 201, REDDING, CA 96001-2831
(530) 222-7271
(530) 222-5282
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11942T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0119420
—
CA
Enumeration date
02/12/2008
Last updated
02/13/2014
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