Individual
YVONNE NATALIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 STOCKTON ST, JACKSONVILLE, FL 32204-2534
(904) 387-4661
Mailing address
10361 BERTIE DAVIS CIR, SANDERSON, FL 32087-2251
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5234789
FL
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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