Individual
PATRICIA HENRY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
924 BERGEN AVE, #209, JERSEY CITY, NJ 07306-3018
(646) 525-9538
Mailing address
924 BERGEN AVE, #209, JERSEY CITY, NJ 07306-3018
(646) 525-9538
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
269214-1
NY
164W00000X
Licensed Practical Nurse
26NP05896300
NJ
Other
Enumeration date
05/31/2015
Last updated
05/31/2015
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