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MISS DAVETH A DAVIS CCP
>> Perfusionist >> Technologists, Technicians & Other Technical Service ProvidersRegistrant NPI Number: 1669651022
Individual Registrant:MISS DAVETH A DAVIS CCP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
275 SANDPIPER CT FOSTER CITY, CA 94404-1320 US
Tel: 650-815-8632 Fax: 650-615-9995
Tel: 650-815-8632 Fax: 650-615-9995
Contact information for business:
275 SANDPIPER CT FOSTER CITY, CA 94404-1320 US
Tel: 650-815-8632 Fax: 650-615-9995
Tel: 650-815-8632 Fax: 650-615-9995
Registration Information:
NPI: 1669651022
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 242T00000X | Technologists, Technicians & Other Technical Service Providers Perfusionist | CA | 981199 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
