PRISCILLA JAYNE DAVENPORT

YUCAIPA, CA
NPI1750119780
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2024-07-22
Last Update Date2025-05-06
Business Address
PRISCILLA JAYNE DAVENPORT
10776 FREMONT ST
YUCAIPA, CA 92399-9630
Phone number: 909-797-0114
Mailing Address
PRISCILLA JAYNE DAVENPORT
10776 FREMONT ST
YUCAIPA, CA 92399-9630
Phone number: 909-797-0114
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