Individual
KIMBERLY ANN DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
35 12TH ST SE, PARIS, TX 75460-6006
(855) 704-2700
Mailing address
570 PINE VALLEY DR, RENO, TX 75462-5835
(903) 272-6635
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
130760
TX
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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