Individual
JOCELYN LIZEN DAVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
528 W 5TH ST, AZUSA, CA 91702-3407
(626) 629-6266
Mailing address
528 W 5TH ST, AZUSA, CA 91702-3407
(626) 629-6266
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
253Z00000X
CA
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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