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Individual

GRIGORY DAVIDOVSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1448 N SIERRA BONITA AVE, LOS ANGELES, CA 90046-4112
(323) 850-0578
(323) 297-5151
Mailing address
1448 N SIERRA BONITA AVE, LOS ANGELES, CA 90046-4112
(323) 850-0578
(323) 297-5151

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
11/14/2008
Last updated
12/29/2011
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