Individual
SALLY JOYCE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7601 EAST IMPERIAL BLVD., RANCHO LOS AMIGOS JPI 3RD FLOOR NEUROREHAB OFFICE, DOWNEY, CA 90242
(562) 401-7713
Mailing address
21213 HAWTHORNE BLVD, #B5496, TORRANCE, CA 90503-5501
(310) 597-6040
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
14342
CA
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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