Sally, Davinesha Marie

Sally, Davinesha Marie is an individual health care provider with primary practice located at 840 N Avenue 66 , Los Angeles CA 90042-1508. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Licensed Psychiatric Technician, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Sally, Davinesha Marie can be contacted via phone (626) 395-7100.

Contact Information

Primary practice address
840 N Avenue 66 Los Angeles CA 90042-1508
Phone: (626) 395-7100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 95376792 California
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X 41383 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X 41383 California
Nursing Service Providers / Registered Nurse 163W00000X 95376792 California

Profile Details

NPI number 1962044206
LBN Legal business name Sally, Davinesha Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2019
Last updated May 28th, 2024 - about 6 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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