Individual
ERICA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2814 S 108TH ST, WEST ALLIS, WI 53227-3224
(414) 885-3525
(262) 643-1617
Mailing address
3772 N 85TH ST, MILWAUKEE, WI 53222-2824
(414) 550-8346
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
321430
WI
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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