Individual
ABBY RAGEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1481 N ELISEO FELIX JR WAY, AVONDALE, AZ 85323-1216
(623) 932-7017
Mailing address
1481 N ELISEO FELIX JR WAY, AVONDALE, AZ 85323-1216
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP049110
AZ
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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