Individual
DAVINA L GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12380 DEPAUL DRIVE, BRIDGETON, MO 63044
Mailing address
616 FM 1960 RD W STE 230, HOUSTON, TX 77090-3024
(877) 749-7428
(512) 628-3314
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2016035063
MO
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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