Individual
MRS. KECIA ANN DAVIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
60 W OLSEN RD, THOUSAND OAKS, CA 91360-2700
(805) 493-3406
(805) 493-3860
Mailing address
60 W OLSEN RD, THOUSAND OAKS, CA 91360-2700
(805) 493-3406
(805) 493-3860
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
04/13/2006
Last updated
07/08/2007
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