Individual
MISS TAWANA ROCHELLE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
410 WHITENER DR, DALTON, GA 30721-4321
(706) 218-9650
Mailing address
410 WHITENER DR, DALTON, GA 30721-4321
(706) 218-9650
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
TEMP202776
GA
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
04/04/2019
Last updated
11/02/2021
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