Individual
CHEYENNE CARMEN ROSE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
1515 S OREGON ST, SUITE B, YREKA, CA 96097-3475
(530) 841-1783
(530) 841-0769
Mailing address
1515 S OREGON ST, SUITE B, YREKA, CA 96097-3475
(530) 841-1783
(530) 841-0769
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/31/2009
Last updated
03/31/2009
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