Individual
SHAVON A DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN MSN IBCLC
Contact information
Practice address
2450 ASHBY AVE, BERKELEY, CA 94705-2067
(510) 214-4444
Mailing address
8015 PLYMOUTH ST, OAKLAND, CA 94621-2327
(510) 214-2330
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
317422
CA
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
95229454
CA
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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