Davenport, Jill
Davenport, Jill is an sole proprietor health care provider with primary practice located at 11965 Venice Blvd Suite 209, Los Angeles CA 90066-3979. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Davenport, Jill can be contacted via phone (424) 209-9716.Contact Information
Primary practice address
11965 Venice Blvd Suite 209
Los Angeles CA 90066-3979
Phone: (424) 209-9716
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 26982 | California |
Profile Details
| NPI number | 1780936633 |
|---|---|
| LBN Legal business name | Davenport, Jill |
| Credentials | CMP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2012 |
| Last updated | Oct 2nd, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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