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DR. CHARLES JAY DAVIDSON DC

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1386936441

Individual Registrant:
DR. CHARLES JAY DAVIDSON DC
Gender: M
Sole Proprietor

Location and contact information for practice:
2108 DRAKE LN  HERCULES, CA 94547-5464 US
Tel: 510-837-8441  Fax: --

Contact information for business:
2108 DRAKE LN  HERCULES, CA 94547-5464 US
Tel: 510-837-8441  Fax: --

Registration Information:
NPI: 1386936441
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
CA31506

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
NPI111N00000XCA01




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