Individual
AUTUMN RENEE DAVIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
19-C FORT EVANS RD, LEESBURG, VA 20176-4487
(703) 777-3262
(703) 777-3365
Mailing address
19-C FORT EVANS RD, LEESBURG, VA 20176-4487
(703) 777-3262
(703) 777-3365
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001190849
VA
Other
Enumeration date
10/27/2005
Last updated
07/08/2007
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