Individual
MALINDA LEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1302 E 5TH, PUEBLO, CO 81001
(719) 543-8711
(719) 543-5340
Mailing address
110 E ROUTT, PUEBLO, CO 81004
(719) 543-8718
(719) 543-5340
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
124295
CO
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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