Individual
KATRINA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4099 MCEWEN RD, 200, FARMERS BRANCH, TX 75244-5030
(314) 754-9700
Mailing address
1221 ABRAMS RD, 103, DALLAS, TX 75214-4872
(214) 334-0448
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
220952
TX
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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