Individual
MRS. COURTNEY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
346 DELAWARE AVE, BUFFALO, NY 14202-1804
(716) 856-7500
Mailing address
4556 WASHINGTON DR, LEWISTON, NY 14092-2336
(716) 754-8252
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
266225-1
NY
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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