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Shaneill Davis

NPI 1508254186 · on the registry since 2015 · sole proprietor

Practice

Address
1509 W 95th St
Los Angeles, CA 90047
Phone
(323) 500-8038

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-01-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California