Individual
ADEYLAH Z DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
73 PORTLAND CT, APT. 4, ROCHESTER, NY 14621-2805
(585) 323-9179
Mailing address
73 PORTLAND CT, APT. 4, ROCHESTER, NY 14621-2805
(585) 323-9179
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
269055
NY
Other
Enumeration date
05/05/2010
Last updated
05/05/2010
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