Individual
MRS. CEILY TRACEY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
7275 E SOUTHGATE DR STE 306, SACRAMENTO, CA 95823-2631
(916) 422-6635
Mailing address
430 WESTERN HILLS DR, RIO VISTA, CA 94571-2195
(916) 206-3281
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
16863
CA
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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