NPI | 1316456734 |
---|---|
Other Name | KIMBERLY ROSE DAVIS, MD INC A PROFESSIONAL MEDICAL CORPORATION |
Entity Type | Organization |
Authorized Contact | KIMBERLY R DAVIS Owner/President 858-461-9866 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A142106) |
Enumeration Date | 2017-09-28 |
Last Update Date | 2021-09-07 |