Individual
NICOLE JOY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
2970 PAWNEE CT, REDDING, CA 96001-3482
(530) 941-6472
Mailing address
2970 PAWNEE CT, REDDING, CA 96001-3482
(530) 941-6472
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
Primary
584292
CA
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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