AUDY DALE DAVIS

SAN BERNARDINO, CA
NPI1134507924
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-05-12
Last Update Date2015-05-18
Business Address
-- AUDY DALE DAVIS
1874 BUSINESS CENTER DR
SAN BERNARDINO, CA 92408-3457
Phone number: 909-386-0523
Mailing Address
-- AUDY DALE DAVIS
6564 LYNWOOD WAY
HIGHLAND, CA 92346-2333
Phone number: 541-551-1028