Individual
MICHELLE LYNETTE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3000 NEWELL DR, AMERICAN CANYON, CA 94503-1279
(480) 282-2663
Mailing address
4912 SUMMER GROVE CIR, FAIRFIELD, CA 94534-3991
(480) 282-2663
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/24/2015
Last updated
11/18/2016
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