Individual
SARAH GRACE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
920 UNIVERSITY ST, MARTIN, TN 38237-1605
(731) 588-5829
(731) 588-5834
Mailing address
920 UNIVERSITY ST, MARTIN, TN 38237-1605
(731) 588-5829
(731) 588-5834
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000075882
TN
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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