Individual
PATRIA A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
(352) 374-5608
Mailing address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
(352) 374-5608
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
PN 1241601
FL
Other
Enumeration date
02/27/2009
Last updated
02/27/2009
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