Individual
DORETHA R DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 STOCKTON BLVD, SACRAMENTO, CA 95817-1337
(916) 875-1131
Mailing address
2150 STOCKTON BLVD, SACRAMENTO, CA 95817-1337
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/26/2019
Last updated
10/18/2024
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