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Individual

KATHLEEN RENEE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
4113 NICKLAUS LN, CORPUS CHRISTI, TX 78413-2025
(361) 249-5210
Mailing address
4113 NICKLAUS LN, CORPUS CHRISTI, TX 78413-2025
(361) 249-5210

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
218569
TX

Other

Enumeration date
04/30/2018
Last updated
04/30/2018
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