Individual
SUCCURA MALICCA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
217 W KERN AVE, MC FARLAND, CA 93250-1360
(661) 792-3038
(661) 792-6270
Mailing address
217 W KERN AVE, MC FARLAND, CA 93250-1360
(661) 792-3038
(661) 792-6270
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
769892
CA
363LF0000X
Family Nurse Practitioner
95008073
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95008073
CA
Other
Enumeration date
10/02/2017
Last updated
04/18/2025
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