Davis, Lydia Michele
Davis, Lydia Michele is an sole proprietor health care provider with primary practice located at 3289 Sweetwater Springs Blvd Apt 11 , Spring Valley CA 91978-1061. She recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as her primary health care specialty. Davis, Lydia Michele can be contacted via phone (619) 735-5216.Contact Information
Primary practice address
3289 Sweetwater Springs Blvd Apt 11
Spring Valley CA 91978-1061
Phone: (619) 735-5216
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Attendant Care Provider | 3747A0650X |
Profile Details
| NPI number | 1063003986 |
|---|---|
| LBN Legal business name | Davis, Lydia Michele |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2021 |
| Last updated | Feb 2nd, 2021 - about 5 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063003986 | NPPES |
| California | Other | C4564424 | DRIVER LICENSE |
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