Individual
MS. IDENA DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
900 S ATLANTIC BLVD, MONTEREY PARK, CA 91754-4716
(626) 570-9000
(626) 570-5700
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(714) 347-1053
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN056988
LA
Other
Enumeration date
12/08/2006
Last updated
09/06/2018
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