Individual
DAVISNA OUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2201 E ANAHEIM ST, 200, LONG BEACH, CA 90804-3411
(562) 433-2490
Mailing address
2065 LINDEN AVE, LONG BEACH, CA 90806-4919
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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