NPI 1952081648

Angelique Michelle Davis

Practitioner Prosthetic/Orthotic Supplier Los Angeles, CA

Practice location

Address: 4705 Willow Brook Ave APT 6, Los Angeles, CA 90029
Phone: (215) 309-9866
Mailing address: 4705 Willow Brook Ave APT 6, Los Angeles, CA 90029-1093

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in California →

Registry record

NPI: 1952081648
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jul 2023
Record last updated: 19 Jul 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.