Individual
MRS. ARIELLE MIRANDA AXT DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3640 LOMITA BLVD STE 106, TORRANCE, CA 90505-3920
(310) 784-8713
Mailing address
3640 LOMITA BLVD STE 106, TORRANCE, CA 90505-3920
(310) 784-8713
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95014304
CA
Other
Enumeration date
03/26/2020
Last updated
04/08/2020
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