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Ms. Brenda Davis, ORT
Other Specialist/Technologist in Modesto, California
NPI 1457481269

Brenda Davis is a Other Specialist/Technologist based in Modesto, CA. Brenda Davis practices in Modesto, CA and has the professional credentials of ORT. The NPI Number for Brenda Davis is 1457481269 and holds a License No. 04-0222 (California).

The current practice location address for Brenda Davis is 609 E Orangeburg Ave, Modesto, CA and can be reached out via phone at 209-572-3224 and via fax at 209-572-4528.

Location: 609 E Orangeburg Ave, Modesto, CA, 95350-5580
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457481269
Provider Name
Brenda Davis
Credential
ORT
Provider Entity Type
Individual
Gender
Female
Address
609 E Orangeburg Ave, Modesto, CA, 95350-5580
Phone Number
209-572-3224
Fax Number
209-572-4528
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04-0222 01 CA CERT ORTHOPAEDIC TECH
institution
Provider Business Practice Location Address Details
Address
609 E Orangeburg Ave
City
Modesto
State
California
Zip
95350-5580
Phone Number
209-572-3224
Fax Number
209-572-4528
person
Provider Business Mailing Address Details
Address
609 E Orangeburg Ave
City
Modesto
State
California
Zip
95350-5580
Phone Number
209-572-3224
Fax Number
209-572-4528
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
246Z00000X
License No.
04-0222 (California)
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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