Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A120323 | CA |
Y | 2080P0203X | Pediatric Critical Care Doctor | A120323 | CA |
NPI | 1235315912 |
---|---|
Provider Name | Dr. Debra L Davey |
First Address | Sacramento, CA 95816-6039 |
Second Address | Sunrise, FL 33323-2843 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2008 |
Last Update Date | 14/12/2021 |