Individual
MISHEDA DAVORA MYLESDAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4020 CHICAGO AVE # 2093, RIVERSIDE, CA 92507-5340
(951) 546-2578
Mailing address
4020 CHICAGO AVE # 2093, RIVERSIDE, CA 92507-5340
(951) 546-2578
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN219384
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95038183
CA
Other
Enumeration date
06/03/2011
Last updated
04/16/2026
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