Individual
ANGELA LYNN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4480 COUNTY ROAD 2000, AUXVASSE, MO 65231-1236
(573) 582-7472
Mailing address
4480 COUNTY ROAD 2000, AUXVASSE, MO 65231-1236
(573) 582-7472
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
051311
MO
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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