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Angelique Michelle Davis
Prosthetic/Orthotic Supplier in Los Angeles, California
NPI 1952081648

Angelique Michelle Davis is a Prosthetic/Orthotic Supplier based in Los Angeles, CA. Angelique Michelle Davis practices in Los Angeles, CA. The NPI Number for Angelique Michelle Davis is 1952081648 and holds a License No. (California).

The current practice location address for Angelique Michelle Davis is 4705 Willow Brook Ave, Los Angeles, CA and can be reached out via phone at 215-309-9866.

Location: 4705 Willow Brook Ave, Los Angeles, CA, 90029-1093
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952081648
Provider Name
Angelique Michelle Davis
Credential
Provider Entity Type
Individual
Gender
Female
Address
4705 Willow Brook Ave, Los Angeles, CA, 90029-1093
Phone Number
215-309-9866
Fax Number
Provider Enumeration Date
07/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4705 Willow Brook Ave
City
Los Angeles
State
California
Zip
90029
Phone Number
215-309-9866
Fax Number
person
Provider Business Mailing Address Details
Address
4705 Willow Brook Ave
City
Los Angeles
State
California
Zip
90029
Phone Number
215-309-9866
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
(California)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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