Individual
ANTHONY DESHAUN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7001A EAST PKWY, SACRAMENTO, CA 95823-2501
(916) 875-1720
Mailing address
7001A EAST PKWY, SACRAMENTO, CA 95823-2501
(916) 875-1720
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
Primary
MPSS-OSYVHR
CA
Other
Enumeration date
01/23/2023
Last updated
07/22/2026
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