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Contact Information

ANGELIQUE M DAVIS
4705 WILLOW BROOK AVE
APT 6
LOS ANGELES, CA90029
 Phone: 215-309-9866
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for ANGELIQUE M DAVIS · (Female)

NPI Number 1952081648
Status Active
Credentials
Entity Individual
Enumeration date 07/19/2023
Last updated 07/19/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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