Individual
JANICE REBECCA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 HOLLY RD, DOVER, PA 17315-4430
(717) 308-2525
Mailing address
3400 HOLLY RD, DOVER, PA 17315-4430
(717) 308-2525
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
RN199171L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA0017768160002
—
PA
Enumeration date
01/19/2007
Last updated
07/09/2007
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