Individual
REGINA SHERILLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1408 E FRANKLIN ST, MONROE, NC 28112-5160
(704) 635-2080
(704) 636-2089
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
068371
NC
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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