Individual
GLORIA DEAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1865 9TH ST, SANTA MONICA, CA 90404
(310) 314-6200
Mailing address
2644 30TH ST STE 100, SANTA MONICA, CA 90405-3051
(310) 314-6200
(310) 450-2024
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN179240
CA
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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