Individual
CLAUDIA MARCEIL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 S WINKLER ST, GORMAN, TX 76454
(254) 734-5121
Mailing address
118 S WINKLER ST, GORMAN, TX 76454
(254) 734-5121
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
205552
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
345177501
—
TX
Enumeration date
07/25/2018
Last updated
12/08/2020
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