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MISS DAVETH A DAVIS CCP

>> Perfusionist >> Technologists, Technicians & Other Technical Service Providers

Registrant NPI Number: 1669651022

Individual Registrant:
MISS DAVETH A DAVIS CCP
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

Contact information for business:
275 SANDPIPER CT  FOSTER CITY, CA 94404-1320 US
Tel: 650-815-8632  Fax: 650-615-9995

Registration Information:
NPI: 1669651022
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y242T00000XTechnologists, Technicians & Other Technical Service Providers
Perfusionist
CA981199

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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