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1013200278
DAVINA ELVINA LOPES DE MENEZES
STOCKTON, CA
NPI
1013200278
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Former Name
DAVINA ELVINA LOPES DE MENESES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A130581)
Enumeration Date
2011-05-20
Last Update Date
2014-08-25
Business Address
-- DAVINA ELVINA LOPES DE MENEZES
7210 MURRAY DR
STOCKTON, CA 95210-3339
Phone number: 209-373-2859
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Mailing Address
-- DAVINA ELVINA LOPES DE MENEZES
1115 BAYSWATER AVE
BURLINGAME, CA 94010-4304
Phone number: 650-358-8684
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