Individual
DEDRICK XAVIER DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2020 N VINE CIR, HANFORD, CA 93230-8937
(559) 670-8789
Mailing address
2020 N VINE CIR, HANFORD, CA 93230-8937
(559) 670-8789
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
2345634
CA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
CA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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