Most Relevant Information
Provider Data
NPI Number: | 1003531534 |
Provider Name: | NICOLLETTE DAVIS L.AC. |
Entity Type: | Individual |
Taxonomy Code: | 171100000X |
Specialty: | Acupuncturist |
License Number: |
Most Important Dates
Enumeration Date: | 10/06/2022 |
Last Updated: | 10/06/2022 |
Provider Practice Location
1101 S ANAHEIM BLVD
ANAHEIM
CA
928055811
Practice Location Phone/Fax
Phone: | 7149371919 |
Fax: |
Provider Mailing Location
12228 SUMMER LN
WHITTIER
CA
906021091
Provider Mailing Phone/Fax
Phone: | 6613317733 |
Fax: |