Individual
LISA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8937 1/2 S WESTERN AVE, LOS ANGELES, CA 90047-3549
(323) 750-7800
Mailing address
8937 1/2 S WESTERN AVE, LOS ANGELES, CA 90047-3549
(323) 750-7800
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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