Individual
DORA DAVIS DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
48 MYSTERY MT ROAD, DELBARTON, WV 25670
(304) 426-8540
Mailing address
PO BOX 255, VARNEY, WV 25696-0255
(304) 426-8540
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
67794
WV
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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