Individual
ROSA DAVITAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4369 S VAN NESS AVE, LOS ANGELES, CA 90062-1454
(323) 292-3558
(323) 292-3688
Mailing address
4369 S VAN NESS AVE, LOS ANGELES, CA 90062-1454
(323) 292-3558
(323) 292-3688
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
000203078800010
CA
Other
Enumeration date
10/31/2007
Last updated
11/01/2007
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