Individual
JESSICA MARIE DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 N VANDEMARK RD, SIDNEY, OH 45365-3567
(937) 710-4616
Mailing address
530 S MAIN ST, LIMA, OH 45804-1240
(419) 222-1168
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
PN.157337
OH
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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