Individual
MRS. MICHELLE ANN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
53 GIBSON RD, GOSHEN, NY 10924-6709
(845) 291-0200
(845) 291-0198
Mailing address
53 GIBSON RD, GOSHEN, NY 10924-6709
(845) 291-0200
(845) 291-0198
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
315290
NY
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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