Davis, Dedrick Xavier

Davis, Dedrick Xavier is an sole proprietor health care provider with primary practice located at 2020 N Vine Cir , Hanford CA 93230-8937. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Davis, Dedrick Xavier can be contacted via phone (559) 670-8789.

Contact Information

Primary practice address
2020 N Vine Cir Hanford CA 93230-8937
Phone: (559) 670-8789
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 2345634 California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X California

Profile Details

NPI number 1063273233
LBN Legal business name Davis, Dedrick Xavier
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2024
Last updated Jan 16th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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