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Priscilla Davenport

NPI 1750119780 · on the registry since 2024

Practice

Address
10776 Fremont St
Yucaipa, CA 92399
Phone
(909) 797-0114
Organisation at this address
Trinity Youth Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
31

Registry record

Primary taxonomy
225400000X
225400000X
Also registered as
171M00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-05-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California