Individual
JACQUELINE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14255 PEYTON DR., CHINO HILLS, CA 91709
(909) 627-3584
Mailing address
17644 BRIGHTMAN AVE, LAKE ELSINORE, CA 92530
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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