Individual
ANDREW ALLEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BT
Contact information
Practice address
801 CORPORATE CENTER DR STE 210, POMONA, CA 91768-2627
(909) 618-0974
Mailing address
12862 COLONNADE DR, RANCHO CUCAMONGA, CA 91739-9347
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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