Ella Mamanta Davidson
NPI #1982371589 in Berkeley, California
Provider Information
- NPI Number
- 1982371589
- Entity Type
- Individual
- Name
- Ella Mamanta Davidson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Aug 23, 2021
- Last Updated
- Aug 23, 2021
Practice Location
- Address
- 904 PANORAMIC WAY
- City
- Berkeley
- State
- California
- ZIP Code
- 94704-2540
- Phone
- (845) 705-0371
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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