Individual
DEANNA RAE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1340 GERTRUDE ST, WAUKESHA, WI 53186
(262) 549-7955
Mailing address
S44W32624 AMY JAMES DR, WAUKESHA, WI 53189
(262) 549-7955
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
146795
WI
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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