Individual
ALICIA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2140 MERCED ST, FRESNO, CA 93721-1721
(559) 892-1128
Mailing address
2140 MERCED ST, FRESNO, CA 93721-1721
(559) 892-1128
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
743169
CA
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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