Individual
JERI L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 HOULTON RD, PATTEN, ME 04765-3035
(207) 528-2285
(207) 528-2280
Mailing address
PO BOX 500, PATTEN, ME 04765-0500
(207) 528-2285
(207) 528-2280
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R048303
ME
Other
Enumeration date
10/30/2009
Last updated
10/30/2009
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