Individual
MRS. TASHANA ABIGAIL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10 N MAIN ST, BRISTOL, CT 06010-8122
(860) 793-3500
Mailing address
45 GOOD HILL RD, SOUTH WINDSOR, CT 06074-3211
(860) 474-5200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
75377
CT
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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