Individual
BRELYNN A DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4815 BAUTISTA DR, MC FARLAND, WI 53558-8737
(608) 575-7622
Mailing address
2353 N MILTON SHOPIERE RD, MILTON, WI 53563-8643
(608) 931-4786
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
239509
WI
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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