Individual
DAVINA ELVINA LOPES DE MENEZES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7210 MURRAY DR, STOCKTON, CA 95210-3339
(209) 373-2859
(209) 373-2873
Mailing address
1115 BAYSWATER AVE, BURLINGAME, CA 94010-4304
(650) 358-8684
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A130581
CA
Other
Enumeration date
05/20/2011
Last updated
08/25/2014
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