Individual
NANCY ANN DAVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1710 FIELDCREST DR, SPARTA, IL 62286-1010
(618) 201-6657
Mailing address
1710 FIELDCREST DR, SPARTA, IL 62286-1010
(618) 201-6657
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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