Individual
DENISE MARY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12400 HIGH BLUFF DR, SAN DIEGO, CA 92130-3077
(877) 560-0297
Mailing address
301 AVENUE L, MATAMORAS, PA 18336-1601
(570) 491-4192
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
688062
NY
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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