Individual
MS. DETRIS DENISE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 WILSHIRE BLVD, SUITE 700, LOS ANGELES, CA 90057-4303
(213) 639-2678
Mailing address
2500 WILSHIRE BLVD, SUITE 700, LOS ANGELES, CA 90057-4303
(213) 639-2678
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/07/2007
Last updated
07/02/2013
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