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Individual
MS. SAFYYAH DESEREE DAVIS
Active
Individual
MS. SAFYYAH DESEREE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
2019020804LPN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019020804LPN
OREGON BOARD OF NURSING
OR
01
—
719792
LICENSE VOCATIONAL NURSE
CA
Enumeration date
05/11/2020
Last updated
10/14/2021
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