Individual
MS. KELLE L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HAD
Contact information
Practice address
1767 E MAIN ST, EL CAJON, CA 92021-5219
(619) 440-6516
(619) 440-6547
Mailing address
12927 SLEEPY WIND ST, MOORPARK, CA 93021-2935
(310) 989-3092
(805) 530-3989
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA6083
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HA0060830
—
CA
Enumeration date
05/30/2006
Last updated
06/30/2015
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