Individual
MRS. LYNN LENORA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11873 NOBLE FIR CT, JACKSONVILLE, FL 32218-9119
(904) 708-4579
Mailing address
PO BOX 56764, JACKSONVILLE, FL 32241-6764
(904) 708-4579
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA 143515
FL
Other
Enumeration date
04/04/2008
Last updated
04/04/2008
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