Individual
ALESHIA DARCEL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
53 BARBARA LN, MEDFORD, NY 11763-1078
(631) 698-2347
Mailing address
53 BARBARA LN, MEDFORD, NY 11763-1078
(631) 698-2347
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
308879-1
NY
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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