Individual
JEANETTE LYNN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 N HOLCOMBE AVE, LITCHFIELD, MN 55355-2210
(320) 693-5370
(320) 693-5399
Mailing address
114 N HOLCOMBE AVE, LITCHFIELD, MN 55355-2210
(320) 693-5370
(320) 693-5399
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R144623-6
MN
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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