Idonia Smallwood Davis, RN
Registered Nurse, Psych/Mental Health, Adult in Hemet, CA. Individual provider (NPI-1).
NPI number1952429227
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1952429227
- Entity type
- Individual (NPI-1)
- Name
- Ms. Idonia Smallwood Davis
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | 252734 | CA | Yes |
Practice location
650 N State StHemet, CA 92543-2960
Phone 951-791-3383 · Fax 951-791-3386
Mailing address
650 N State StHemet, CA 92543-2960
Phone 951-791-3383 · Fax 951-791-3386
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