Individual
VALERIE R DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
777 S MAIN ST, SUITE 100, CLINTON, IN 47842-2493
(765) 828-1003
(765) 828-1030
Mailing address
PO BOX 344, CLINTON, IN 47842-0344
(765) 828-1003
(765) 828-1030
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27037608A
IN
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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