Individual
TEAL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
425 JULIANA ST, PARKERSBURG, WV 26101-5352
(304) 893-9777
Mailing address
810 FLORENCE ST APT A, BELPRE, OH 45714-8307
(740) 434-1162
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
39929
WV
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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