Individual
MS. SHANICA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
3400 AERO JET AVE FL 3, EL MONTE, CA 91731-2803
(626) 569-6149
Mailing address
3400 AERO JET AVE FL 3, EL MONTE, CA 91731-2803
(626) 569-6149
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
545379
CA
363LF0000X
Family Nurse Practitioner
14639
CA
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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