Individual
DIANN MICHELE DAVISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHAPLAIN
Contact information
Practice address
1143 10TH ST, LOS OSOS, CA 93402-1306
(714) 273-9014
Mailing address
1143 10TH ST, LOS OSOS, CA 93402-1306
(714) 273-9014
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
CA
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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