Individual
MABLE L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1408 E FRANKLIN ST, MONROE, NC 28112-5160
(704) 635-2080
Mailing address
284 EXECUTIVE PARK DR, SUITE, CONCORD, NC 28025-1831
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
054313
NC
Other
Enumeration date
05/14/2010
Last updated
06/18/2010
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