Individual
DOUGLAS DEAN DAVIS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16650 SHERMAN WAY, VAN NUYS, CA 91406-3782
(818) 901-4836
Mailing address
16536 BALLINGER ST, NORTH HILLS, CA 91343-1806
(818) 293-9596
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
Other
Enumeration date
02/07/2023
Last updated
07/01/2023
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