Individual
ALYSON JACQUELINE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3451 E 12TH ST, OAKLAND, CA 94601-3463
(510) 535-3500
Mailing address
3451 E 12TH ST, OAKLAND, CA 94601-3463
(510) 535-3500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A159027
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A159027
CA MEDICAL LICENSE
CA
Enumeration date
04/17/2017
Last updated
11/17/2022
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