Individual
ELIZABETH ANN DAVISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
11234 ANDERSON ST, 6700H, LOMA LINDA, CA 92354-2804
(909) 558-8514
(909) 558-7873
Mailing address
11529 CASA BLANCA ST, YUCAIPA, CA 92399-9703
(909) 797-1566
(909) 797-1566
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP14017
CA
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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