Individual
JESSIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 N INDIAN CANYON DR, PALM SPRINGS, CA 92262-4872
(760) 323-6511
Mailing address
131 AVENUE B, BILLINGS, MT 59101-0634
(253) 548-5672
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A16770
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/01/2017
Last updated
06/28/2019
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