Individual
MISS DAVETH A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCP
Contact information
Practice address
275 SANDPIPER CT, FOSTER CITY, CA 94404-1320
(650) 815-8632
(650) 615-9995
Mailing address
275 SANDPIPER CT, FOSTER CITY, CA 94404-1320
(650) 815-8632
(650) 615-9995
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
981199
CA
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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