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Jennifer Davenport

NPI 1770261521 · on the registry since 2023 · sole proprietor

Practice

Address
6957 N Figueroa St
Los Angeles, CA 90042
Phone
(323) 443-3175
Organisation at this address
Optimist Boys' Home And Ranch, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
109

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-07-10

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