Individual
MRS. DIANNA ANDREA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
422 ARNEILL RD STE A, CAMARILLO, CA 93010-6434
(805) 482-1282
Mailing address
5855 OLIVAS PARK DR, VENTURA, CA 93003-7672
(805) 667-2801
(805) 667-2865
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
54688
CA
Other
Enumeration date
10/04/2017
Last updated
03/17/2018
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