Individual
MRS. ALICIA M DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4361 N 90TH ST, MILWAUKEE, WI 53222-1601
(414) 464-9664
Mailing address
4361 N 90TH ST, MILWAUKEE, WI 53222-1601
(414) 464-9664
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
164652-30
WI
163WC0200X
Critical Care Medicine Registered Nurse
Primary
164652-30
WI
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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