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NPI Code Detail

MEDICARE: MRS. DONNA ANN DAVIS MHRS

MEDICARE: MRS. DONNA ANN DAVIS MHRS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1376674424
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DONNA ANN DAVIS MHRS
Provider Business Mailing Address
First Line : 11716 ENTERPRISE DR
Second Line :
City : AUBURN
State : CA
Zip : 95603-3732
Country : US
Telephone Number : 530-886-5431
Fax Number :
Provider Business Practice Location Address
First Line : 11716 ENTERPRISE DR
Second Line :
City : AUBURN
State : CA
Zip : 95603-3732
Country : US
Telephone Number : 530-886-5431
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 10/09/2014

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