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Individual

WONDA DAVIS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
901 S 3RD ST, MC GEHEE, AR 71654-2563
(870) 222-3805
(870) 222-3984
Mailing address
417 OAKGROVE DR, MC GEHEE, AR 71654-2648

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
052541510603E
AR

Other

Enumeration date
12/14/2005
Last updated
07/08/2007
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