Individual
CHINITA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
10251 N 35TH AVE, PHOENIX, AZ 85051-1305
(602) 995-9406
(602) 997-2636
Mailing address
10251 N 35TH AVE, PHOENIX, AZ 85051-1305
(602) 995-9406
(602) 997-2636
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
256123
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200212
LVN
CA
Enumeration date
03/31/2008
Last updated
01/09/2024
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