Individual
MRS. CHANTELLE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
18112 CULVER DR, IRVINE, CA 92612-2730
(949) 786-0151
Mailing address
18112 CULVER DR, IRVINE, CA 92612-2730
(949) 786-0151
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
62455
CA
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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