Individual
SELENA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
341 FOSTER ST, COWPENS, SC 29330-9784
(864) 279-6304
(864) 279-6373
Mailing address
341 FOSTER ST, COWPENS, SC 29330-9784
(864) 279-6304
(864) 279-6373
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
41579
SC
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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