Provider Demographics
NPI:1457248627
Name:DAVIES, ANGRETT
Entity type:Individual
Prefix:
First Name:ANGRETT
Middle Name:
Last Name:DAVIES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3860 BALFOUR RD STE F301
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-1667
Mailing Address - Country:US
Mailing Address - Phone:925-565-0974
Mailing Address - Fax:
Practice Address - Street 1:3860 BALFOUR RD STE F301
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-1667
Practice Address - Country:US
Practice Address - Phone:925-565-0974
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment