Individual
MS. IDONIA SMALLWOOD DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
650 N STATE ST, HEMET, CA 92543-2960
(951) 791-3383
(951) 791-3386
Mailing address
650 N STATE ST, HEMET, CA 92543-2960
(951) 791-3383
(951) 791-3386
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
252734
CA
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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