Individual
RYAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
385 TREMONT AVE, EAST ORANGE, NJ 07018-1023
(973) 676-1000
Mailing address
7123 ELM CT, MONMOUTH JUNCTION, NJ 08852-2141
(862) 684-1432
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR17110200
NJ
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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