Individual
ELIZABETH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2173 E HAMILTON CT, REPUBLIC, MO 65738-1523
(417) 350-9169
Mailing address
2173 E HAMILTON CT, REPUBLIC, MO 65738-1523
(417) 350-9169
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
3780200900
MO
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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