MELVIN CORNELIUS DAVIDSON

MEDFORD, OR
NPI1740066851
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2023-09-05
Last Update Date2023-09-05
Business Address
MELVIN CORNELIUS DAVIDSON
1035 N KEENE WAY DR
MEDFORD, OR 97504-6253
Phone number: 541-500-8814
Mailing Address
MELVIN CORNELIUS DAVIDSON
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170