EBONY LAQUISE DAVIS

SACRAMENTO, CA
NPI1114630787
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-12-28
Last Update Date2022-12-28
Business Address
EBONY LAQUISE DAVIS RADT
4441 AUBURN BLVD STE E
SACRAMENTO, CA 95841-4139
Phone number: 916-473-5764
Mailing Address
EBONY LAQUISE DAVIS RADT
6040 NORTHCREST CIR APT 1
CARMICHAEL, CA 95608-1064
Phone number: 330-774-3717
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