Individual
AMY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.M.S. 81478
Contact information
Practice address
45040 MAIN STREET, MENDOCINO, CA 95460
(707) 937-1477
(707) 937-1480
Mailing address
33275 PACIFIC WAY, FORT BRAGG, CA 95437-9226
(707) 937-1477
(707) 937-1480
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
RDMS81478
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RDMS81478
RDMS
CA
Enumeration date
06/18/2009
Last updated
08/13/2009
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