Individual
EMILY ROSE DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2180 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4558
(619) 890-2056
Mailing address
2180 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4558
(619) 890-2056
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
661556
CA
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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