Search › California › 103TA0400X
Dedrick Davis
NPI 1063273233 · on the registry since 2024 · sole proprietor
Practice
- Address
- 2020 N Vine Cir
Hanford, CA 93230 - Phone
- (559) 670-8789
Registry record
- Primary taxonomy
- 103TA0400X
103TA0400X
- Also registered as
- 103TA0400X
103TA0400X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-16
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