Individual
CYNTHIA DAVENPORT-HERBST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12 E TWOHIG AVE, SAN ANGELO, TX 76903-6433
(325) 340-9899
Mailing address
12 E TWOHIG AVE, SAN ANGELO, TX 76903-6433
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
754927
TX
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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