Individual
MRS. EUGENIA L DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8803 FOX CREEK DR, STOCKTON, CA 95210-1783
(209) 353-9140
(209) 298-7647
Mailing address
4719 QUAIL LAKES DR STE G, STOCKTON, CA 95207-5267
(209) 353-9140
(209) 268-7647
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
B106161
CA
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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