| Jill Davenport, CMP | |
|
11965 Venice Blvd, Suite 209, Los Angeles, CA 90066-3979 | |
| (424) 209-9716 | |
| Not Available |
| Full Name | Jill Davenport |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 11965 Venice Blvd, Los Angeles, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780936633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 26982 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jill Davenport, CMP 11965 Venice Blvd, Suite 209, Los Angeles, CA 90066-3979 Ph: (424) 209-9716 | Jill Davenport, CMP 11965 Venice Blvd, Suite 209, Los Angeles, CA 90066-3979 Ph: (424) 209-9716 |
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