Individual
BRIANNA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 CREST DR, PALESTINE, TX 75801-7360
(903) 724-9309
Mailing address
210 CREST DR, PALESTINE, TX 75801-7360
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
339455
TX
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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