Individual
EMILY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2981 KANELL BLVD, POPLAR BLUFF, MO 63901-4008
(573) 776-1941
Mailing address
1601 OLD SOUTH RIVER RD, SAINT CHARLES, MO 63303-4120
(636) 224-1210
(636) 246-1008
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2018022988
MO
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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