Individual
MS. MONIQUE DIENE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11837 S PRINCETON AVE, CHICAGO, IL 60628-6011
(312) 493-9503
Mailing address
11837 S PRINCETON AVE, CHICAGO, IL 60628-6011
(312) 493-9503
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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