Individual
CINDY LEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
607 4TH ST, ELDORADO, IL 62930-1278
(618) 273-2951
(618) 273-2712
Mailing address
PO BOX 155, CHRISTOPHER, IL 62822-0155
(618) 724-2436
(618) 724-2571
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043066652
IL
Other
Enumeration date
02/11/2011
Last updated
02/11/2011
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