Individual
MS. CAROLYN CHERIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
26520 CACTUS AVE STE A2006, MORENO VALLEY, CA 92555-3927
(951) 486-4000
Mailing address
26520 CACTUS AVE STE A2006, MORENO VALLEY, CA 92555-3927
(951) 486-4000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95032354
CA
Other
Enumeration date
10/07/2024
Last updated
01/22/2025
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