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Individual

TALIA DENISE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2713 LANCASTER AVE, WILMINGTON, DE 19805-5220
(302) 656-2348
Mailing address
8 COLONY BLVD, APT 307, WILMINGTON, DE 19802-1465
(302) 399-7159

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L2-0009926
DE

Other

Enumeration date
08/24/2015
Last updated
08/24/2015
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