Individual
LARRY LEE DAVIS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1408 A ST, ANTIOCH, CA 94509-2331
(925) 978-2873
(925) 757-0411
Mailing address
1408 A ST, ANTIOCH, CA 94509-2331
(925) 978-2873
(925) 757-0411
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
08/08/2017
Last updated
07/21/2022
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