DESIREE DAVIS

TARZANA, CA
NPI1932834488
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1416870121)
Enumeration Date2022-07-19
Last Update Date2022-07-19
Business Address
DESIREE DAVIS RADT I
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
Mailing Address
DESIREE DAVIS RADT I
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051