Individual
JOHN EDWARD DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
47915 OASIS ST, INDIO, CA 92201-6950
(442) 282-4909
Mailing address
42400 WARNER TRL, PALM DESERT, CA 92211-8231
(760) 895-9626
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
207385
CA
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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