Individual provider · Type 1 NPI
Eugenia L. Davis
Prosthetic/Orthotic Supplier · Stockton, CA
Practice location
8803 Fox Creek Dr
Stockton, CA 95210-1783
Fax (209) 298-7647
Mailing address
4719 Quail Lakes Dr Ste G
Stockton, CA 95207-5267
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | B106161 (CA) |
Prosthetic/Orthotic Supplier: 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.
About NPI 1508641390
Eugenia L. Davis's National Provider Identifier is 1508641390, issued on Aug 29, 2023. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Stockton, CA. The record was last updated on Aug 29, 2023.