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Organization

DAVENPORT PRODUCTS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JOYCE ANN KHOURY (SOLE PROPRIETOR)
(310) 383-6452
Entity
Organization

Contact information

Practice address
8405 PERSHING DR STE 301, PLAYA DEL REY, PLAYA DEL REY, CA 90293-7861
(310) 383-6452
(310) 821-7300
Mailing address
8405 PERSHING DR STE 301, PLAYA DEL REY, PLAYA DEL REY, CA 90293-7861
(310) 383-6452
(310) 821-7300

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
CA

Other

Enumeration date
08/29/2011
Last updated
08/29/2011
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