Individual
SANDRA L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1001 LAKESIDE AVE E STE 1000, CLEVELAND, OH 44114-1162
(440) 251-7929
Mailing address
1001 LAKESIDE AVE E STE 1000, CLEVELAND, OH 44114-1162
(440) 251-7929
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
409227
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
409227
THE OHIO BOARD OF NURSING
OH
Enumeration date
03/12/2020
Last updated
03/12/2020
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