Individual
MRS. COLLEEN MARIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, IBCLC
Contact information
Practice address
921 SANDIA CIR, EDMOND, OK 73012-4249
(405) 340-5430
Mailing address
921 SANDIA CIR, EDMOND, OK 73012-4249
(405) 340-5430
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
R0049489
OK
Other
Enumeration date
10/08/2009
Last updated
10/08/2009
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