Individual
MRS. PRISCILLA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
3847 EMERALD AVE, LA VERNE, CA 91750-2904
(626) 502-7003
Mailing address
770 E. SAN BERNARDINO RD #3, COVINA, CA 91723
(626) 502-7003
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15946
CA
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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