Angela Davis
Technician, Attendant Care Provider in Rancho Cucamonga, CA. Individual provider (NPI-1).
NPI number1982382495
StatusActive
Last updated in NPPESJul 6, 2023
Details
- NPI
- 1982382495
- Entity type
- Individual (NPI-1)
- Name
- Angela Davis
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 6, 2023
- Certification date
- Jul 6, 2023
- Last updated
- Jul 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
8200 Haven Ave Apt 9104Rancho Cucamonga, CA 91730-6976
Phone 831-238-6685
Mailing address
8200 Haven Ave Apt 9104Rancho Cucamonga, CA 91730-6976
Phone 831-238-6685
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