Individual
ANGELA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8200 HAVEN AVE APT 9104, RANCHO CUCAMONGA, CA 91730-6976
(831) 238-6685
Mailing address
8200 HAVEN AVE APT 9104, RANCHO CUCAMONGA, CA 91730-6976
(831) 238-6685
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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