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Individual

DENA MARIE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
1436 GOODRICH BLVD, COMMERCE, CA 90022-5111
(233) 725-1337
Mailing address
1436 GOODRICH BLVD, COMMERCE, CA 90022-5111
(233) 725-1337

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
811654
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95013847
CA

Other

Enumeration date
08/18/2019
Last updated
05/20/2024
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