NPI 1457481269

Brenda Davis, ORT

Practitioner Other Specialist/Technologist Modesto, CA

Practice location

Address: 609 E Orangeburg Ave, Modesto, CA 95350-5580
Phone: (209) 572-3224
Fax: (209) 572-4528

Registered specialties

Other Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X Licence 04-0222 (CA)

Other Specialist/Technologist, Other providers in California →

Registry record

NPI: 1457481269
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Mar 2007
Record last updated: 8 Jul 2007

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.