Individual
JOANNA L DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
45 19TH ST, CLINTONVILLE, WI 54929-1131
(715) 460-3119
Mailing address
45 19TH ST, CLINTONVILLE, WI 54929-1131
(715) 460-3119
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
156401-30
WI
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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