NPI 1063114957

Candice Yvore Davis, CMT

Practitioner Massage Therapist Fairfield, CA

Practice location

Address: 332 Great Jones St, Fairfield, CA 94533-6022
Phone: (707) 603-5068

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 88668 (CA)

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Registry record

NPI: 1063114957
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Mar 2023
Record last updated: 21 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.