Individual
DORA DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47915 OASIS ST, INDIO, CA 92201-6950
(760) 863-7007
Mailing address
84471 AVENUE 51 APT G103, COACHELLA, CA 92236-9564
(760) 702-7628
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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