Individual
ASHLEY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3970 3RD AVE APT 1105, BRONX, NY 10457-8192
(561) 662-5477
Mailing address
3970 3RD AVE APT 1105, BRONX, NY 10457-8192
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
329213-1
NY
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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