Individual
KRISTEN ROSE LEA DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38761 445TH ST, CHAMBERSBURG, IL 62323-2158
(447) 344-0679
Mailing address
38761 445TH ST, CHAMBERSBURG, IL 62323-2158
(447) 344-0679
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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