Individual
MRS. CHRISTINA RAE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
608 ROLLIE MOORE DR, HARRISBURG, IL 62946-2351
(618) 252-6150
(618) 252-6595
Mailing address
608 ROLLIE MOORE DR, HARRISBURG, IL 62946-2351
(618) 252-6150
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043082404
IL
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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