Individual
KIMBERLY ANN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1187 LUCERO ST, CAMARILLO, CA 93010-3053
(805) 889-0401
Mailing address
1187 LUCERO ST, CAMARILLO, CA 93010-3053
(805) 889-0401
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/19/2020
Last updated
12/19/2020
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