Davis, Jacqueline Denise

Davis, Jacqueline Denise is an individual health care provider with primary practice located at 21250 Box Springs Rd , Moreno Valley CA 92557-8705. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Davis, Jacqueline Denise can be contacted via phone (951) 686-3706.

Contact Information

Primary practice address
21250 Box Springs Rd Moreno Valley CA 92557-8705
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 13441 California

Profile Details

NPI number 1538641378
LBN Legal business name Davis, Jacqueline Denise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2018
Last updated Jul 25th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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