Individual
MR. JOSHUA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
1950 3RD STREET, LA VERNE, CA 91750
(909) 448-4193
Mailing address
10670 COUNTRYSIDE DR, RANCHO CUCAMONGA, CA 91730-6800
(909) 987-7961
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
069802805
CA
Other
Enumeration date
09/22/2006
Last updated
03/11/2015
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