Provider Demographics
NPI:1164137691
Name:YAMASSAKI-DAVIDSON, JULYANA HARUMI (RN)
Entity Type:Individual
Prefix:
First Name:JULYANA
Middle Name:HARUMI
Last Name:YAMASSAKI-DAVIDSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4224 VOSS HILLS PL
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-2785
Mailing Address - Country:US
Mailing Address - Phone:469-316-1654
Mailing Address - Fax:
Practice Address - Street 1:1291 W CAMPBELL RD STE 100
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-2946
Practice Address - Country:US
Practice Address - Phone:469-316-1654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1018876163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse