Individual
ETHYL C DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2301 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-4427
(215) 291-3096
Mailing address
PO BOX 8500-1776, PHILADELPHIA, PA 19178-0001
(201) 804-2800
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN209108L
PA
Other
Enumeration date
02/28/2006
Last updated
07/03/2008
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