Individual
CAROL L DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18302 IRVINE BLVD STE 300, TUSTIN, CA 92780-3437
(714) 881-8617
(714) 432-8261
Mailing address
18302 IRVINE BLVD STE 300, TUSTIN, CA 92780-3437
(714) 881-8617
(714) 432-8261
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/14/2011
Last updated
11/15/2011
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