Individual
DOROTHY N DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3801 W TEMPLE AVE, POMONA, CA 91768-2557
(909) 869-4000
(909) 869-4561
Mailing address
3801 W TEMPLE AVE, POMONA, CA 91768-2557
(909) 869-4000
(909) 869-4561
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
193655
CA
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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