NATHAN S DAVIS

TARZANA, CA
NPI1720840861
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  24745RAC)
Enumeration Date2024-01-24
Last Update Date2024-07-18
Business Address
NATHAN S DAVIS
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
Mailing Address
NATHAN S DAVIS
17628 LOS ALIMOS ST # A
GRANADA HILLS, CA 91344-4618
Phone number: 818-423-1543