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Individual

MR. JOHN HENRY DAVIS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RCP,RRT,RRT-NPS,CPFT

Contact information

Practice address
3460 E LA PALMA AVE, ANAHEIM, CA 92806
(714) 644-7581
Mailing address
607 S CASITA ST, ANAHEIM, CA 92805-4747
(714) 873-6807

Taxonomy

Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
30282
CA
227900000X
Registered Respiratory Therapist
Primary
30282
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1922341320
CA
Enumeration date
04/03/2013
Last updated
11/16/2021
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