Davis, Dianne Fredricka

Davis, Dianne Fredricka is an individual health care provider with primary practice located at 732 Mott St Ste 150 , San Fernando CA 91340-4241. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Davis, Dianne Fredricka can be contacted via phone (413) 658-8290.

Contact Information

Primary practice address
732 Mott St Ste 150 San Fernando CA 91340-4241
Phone: (413) 658-8290
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1417503632
LBN Legal business name Davis, Dianne Fredricka
Credentials MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2019
Last updated Aug 13th, 2019 - about 6 years 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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