Individual
JUANITA DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 E AUSTIN ST, NEVADA, MO 64772-3927
(816) 922-2635
Mailing address
15887 S 2400 RD, WALKER, MO 64790-8460
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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