Individual
SHARON DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
918 N ASPEN AVE, RIALTO, CA 92376-3875
(909) 559-9701
(866) 871-8661
Mailing address
918 N ASPEN AVE, RIALTO, CA 92376-3875
(909) 559-9701
(866) 871-8661
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
366425641
CA
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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