Individual
MRS. BRIANNA LYNN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1471 S RIVERSIDE AVE, RIALTO, CA 92376-7703
(909) 877-1361
Mailing address
1471 S RIVERSIDE AVE, RIALTO, CA 92376-7703
(909) 877-1361
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3535
CA
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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