Individual
MICAELA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 HAAS PAVILION BERKELEY CA 94720, BERKELEY, CA 94720-0001
(510) 355-6709
Mailing address
4500 BIG HORN DR, REDDING, CA 96002-5216
(530) 355-6709
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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