Individual
JOSIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
635 PINE RIDGE PL, RALEIGH, NC 27609-4643
(919) 788-9858
Mailing address
635 PINE RIDGE PL, RALEIGH, NC 27609-4643
(919) 788-9858
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
69663
NC
372600000X
Adult Companion
69663
NC
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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