Individual
MS. ANN MARIE C DAVIGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1207 FAIRCHILD CT, WOODLAND, CA 95695-4321
(530) 666-1631
(530) 668-2629
Mailing address
PO BOX 6005, FOLSOM, CA 95763-6005
(916) 505-0426
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12517
CA
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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