Individual
MRS. DOROTHY J. DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2860 E ESTRELLA CT, GILBERT, AZ 85296-8893
(480) 633-1284
Mailing address
2860 E ESTRELLA CT, GILBERT, AZ 85296-8893
(480) 633-1284
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
10913
AZ
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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