Individual
MRS. MARY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6660 EASTWOOD COURT, WEST BEND, WI 53090
(414) 232-1955
Mailing address
6660 EASTWOOD COURT, WEST BEND, WI 53090
(414) 232-1955
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
112571-030
WI
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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