Individual
DENETTE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
3795 W DAKOTA AVE, FRESNO, CA 93722-4784
(559) 790-3310
Mailing address
3795 W DAKOTA AVE, FRESNO, CA 93722-4784
(559) 790-3310
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
70385
CA
163WH0200X
Home Health Registered Nurse
Primary
683475
CA
Other
Enumeration date
05/07/2007
Last updated
01/31/2017
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