Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 32423 | CA |
N | 111NP0017X | Pediatric Chiropractor | 32423 | CA |
N | 111NR0200X | Radiology | 32423 | CA |
N | 213ER0200X | Radiology | 32423 | CA |
NPI | 1922359520 |
---|---|
Provider Name | Erin-Elizabeth Maccarry Davis |
First Address | Irvine, CA 92618-6705 |
Second Address | South Lake Tahoe, CA 96150-3359 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2012 |
Last Update Date | 27/08/2020 |