Individual
JANE M DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
327 E MARQUETTE ST, APPLETON, WI 54911-2843
(920) 731-7612
Mailing address
327 E MARQUETTE ST, APPLETON, WI 54911-2843
(920) 731-7612
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
10228-030
WI
Other
Enumeration date
01/14/2012
Last updated
01/14/2012
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