Organization
RIVERSIDE UNIFIED SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DAVIS RN, FNP-BC (LEAD NURSE, HEALTH SERVICES)
(951) 274-4213
Entity
Organization
Contact information
Practice address
5700 ARLINGTON AVE, RIVERSIDE, CA 92504-2035
(951) 274-4213
(951) 274-4203
Mailing address
3380 14TH ST, RIVERSIDE, CA 92501-3810
(951) 274-4213
(951) 274-4203
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
15101
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710189352
—
CA
05
—
1760426449
—
CA
Enumeration date
08/03/2016
Last updated
08/03/2016
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