Individual
JILLIAN DIANE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
441 N MAIN ST, ALTURAS, CA 96101-3457
(530) 233-6311
(530) 233-6339
Mailing address
441 N MAIN ST, ALTURAS, CA 96101-3457
(530) 233-6311
(530) 233-6339
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
633004
CA
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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