Individual
MRS. LAKONNIA YVETTE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
754 S MISSION RD, WICHITA, KS 67207-2034
(918) 894-7947
(316) 612-0602
Mailing address
754 S MISSION RD, WICHITA, KS 67207-2034
(918) 894-7947
(316) 612-0602
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
24-39506-091
KS
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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