Individual
ANDRAE DAVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
39 MONTROSE ST, SPRINGFIELD, MA 01109-3048
(413) 221-7740
Mailing address
39 MONTROSE ST, SPRINGFIELD, MA 01109-3048
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2297789
MA
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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