Individual
BROOKE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
260 INTERNATIONAL CIR, SAN JOSE, CA 95119-1130
(408) 972-3030
Mailing address
127 PILKINGTON AVE, SANTA CRUZ, CA 95062-3737
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA17652
CA
Other
Enumeration date
01/25/2007
Last updated
01/11/2022
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