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Individual

JONATHAN DAVIES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPA-C

Contact information

Practice address
15466 LOS GATOS BLVD STE 109-353, LOS GATOS, CA 95032
(650) 387-7923
Mailing address
15466 LOS GATOS BLVD STE 109-353, LOS GATOS, CA 95032-2542
(650) 387-7923

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
51498
CA
363AS0400X
Surgical Physician Assistant
Primary
51498
CA

Other

Enumeration date
03/06/2014
Last updated
03/06/2020
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