Individual
ROLAND CHARLES DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
1411 PRATT ST, COLUMBIA, MO 65201-5730
(573) 256-8948
Mailing address
1411 PRATT ST, COLUMBIA, MO 65201-5730
(573) 256-8948
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN128469
MO
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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