Individual
MRS. JANE DAVIS-NEVAQUAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
6115 CAMP BOWIE BLVD STE 290, FT WORTH, TX 76116-5500
(817) 831-1105
Mailing address
10924 DEER CREEK DR, BURLESON, TX 76028-7206
(817) 996-3287
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
110455
TX
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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