Individual
CHRISTINE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
927 TRETTEL LN, CLOQUET, MN 55720-1345
(218) 879-1227
Mailing address
2862 SOLWAY RD, ESKO, MN 55733-9300
(218) 879-1227
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R163217-6
MN
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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