Individual
CORA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 GREENWOOD PL, COLLINSVILLE, IL 62234-1409
(314) 504-9903
Mailing address
600 GREENWOOD PL, COLLINSVILLE, IL 62234-1409
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
03/14/2017
Last updated
06/18/2017
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