Individual
QUIANA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2478 NORTH 34TH STREET, MILWAUKEE, WI 53210
(414) 324-8903
Mailing address
2478 NORTH 34TH STREET, MILWAUKEE, WI 53210
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313850
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346633112
—
WI
Enumeration date
03/18/2015
Last updated
06/15/2015
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