Individual
MRS. EILEEN REBECCA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
132 W BRANCH RD, BARTO, PA 19504-9226
(610) 845-8465
Mailing address
132 W BRANCH RD, BARTO, PA 19504-9226
(610) 845-8465
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN080527L
PA
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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