Kellie Davidson, LVN Valid NPI
Individual provider · Licensed Vocational Nurse · Winchester, CA
- NPI
- 1306297601
- Type
- Individual (Type 1)
- Primary specialty
- Licensed Vocational Nurse
- Specialty group
- Nursing Service Providers
- Taxonomy code
- 164X00000X
- License number
- 684225 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2016-06-28
- Last updated
- 2024-06-29
Practice location
33187 Skyview Rd
Winchester, CA 92596-4524
(248) 613-5082