Individual
MS. DOLORES ELIZABETH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2859-61 KENNEDY BOULEVARD, JERSEY CITY, NJ 07306
(201) 433-2826
Mailing address
2859-61 KENNEDY BOULEVARD, JERSEY CITY, NJ 07306
(201) 433-2826
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP07352500
NJ
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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