Angelique Michelle Davis
NPI #1952081648 in Los Angeles, California
Provider Information
- NPI Number
- 1952081648
- Entity Type
- Individual
- Name
- Angelique Michelle Davis
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jul 19, 2023
- Last Updated
- Jul 19, 2023
Practice Location
- Address
- 4705 WILLOW BROOK AVE
- Address 2
- APT 6
- City
- Los Angeles
- State
- California
- ZIP Code
- 90029
- Phone
- (215) 309-9866
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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