Individual
MS. REBECCA DESERISY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNFA
Contact information
Practice address
105 MCKNIGHT DR, MIDDLETOWN, OH 45044-4838
(513) 420-5084
Mailing address
200 SANTA FE RD, MIDDLETOWN, OH 45042
(513) 424-3409
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
RN233971
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN233971
OHIO BOARD OF NURSING
OH
Enumeration date
10/23/2006
Last updated
07/08/2007
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