Individual
PHILLIP DAVALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.T.
Contact information
Practice address
24581 CALLE PERLA, MURRIETA, CA 92562-4358
(951) 834-8470
Mailing address
24581 CALLE PERLA, MURRIETA, CA 92562-4358
(951) 834-8470
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
—
—
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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