Individual
CATHY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 ASH ST, ARDMORE, OK 73401-1718
(580) 436-2690
Mailing address
301 ASH ST, ARDMORE, OK 73401-1718
(580) 436-2690
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0100333
OK
Other
Enumeration date
06/20/2022
Last updated
07/01/2022
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