Individual
CLAUDETTE ROSE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
230 N MAIN ST, SPRING VALLEY, NY 10977-4020
(845) 207-0324
Mailing address
230 N MAIN ST, SPRING VALLEY, NY 10977-4020
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
547093
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
547093
—
NY
Enumeration date
03/07/2018
Last updated
06/16/2018
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