Individual
JENNIFER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 7TH ST SW, ORANGE CITY, IA 51041-1923
(712) 707-7000
Mailing address
296 ANDERSON RD, BAILEY, CO 80421-1502
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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