Individual
CLANICE SHELIA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1426 S ORANGE DR, LOS ANGELES, CA 90019-4122
(323) 640-1133
Mailing address
1426 S ORANGE DR, LOS ANGELES, CA 90019-4122
(323) 640-1133
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
CA
Other
Enumeration date
10/01/2025
Last updated
10/24/2025
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