Individual
JANICE LEE DAVOLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 FAIRMOUNT AVE, STE 425, PASADENA, CA 91105-3150
(626) 449-9992
(626) 449-4504
Mailing address
800 S. FAIRMOUNT AVE, STE 425, PASADENA, CA 91105
(626) 449-9992
(626) 449-4504
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G067083
CA
Other
Enumeration date
07/27/2006
Last updated
07/01/2010
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