Individual
MS. RAQUEL ELVIRA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(646) 261-7455
Mailing address
44 WARING DR, CARMEL, NY 10512-1322
(646) 261-7455
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
596748
NY
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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