Individual
AUDREY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5362 LEMEE LN, MARIPOSA, CA 95338-9556
(209) 742-0911
Mailing address
PO BOX 99, MARIPOSA, CA 95338-0099
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
11/10/2025
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