Individual
DAVONA R VINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8400 FOX HAVEN CHASE, STURTEVANT, WI 53177-3800
(262) 676-8339
Mailing address
8400 FOXHAVNE CHASE, STURTEVANT, WI 53177-3800
(262) 676-8339
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
316097-31
WI
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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