Individual
MS. NORMA JEAN DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 3RD STREET CIR W APT 516, BRADENTON, FL 34207-1520
(941) 739-5459
Mailing address
4510 3RD STREET CIR W APT 516, BRADENTON, FL 34207-1520
(941) 739-5459
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/08/2013
Last updated
02/08/2013
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