Individual
KIERRA KRISTINA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3169 EUCLID AVE, LYNWOOD, CA 90262-4971
(424) 305-9954
Mailing address
3169 EUCLID AVE, LYNWOOD, CA 90262-4971
(424) 305-9954
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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