Individual
LARHONDA MICHELL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1024 POMPANO DR, ROCKLEDGE, FL 32955-2233
(321) 305-7907
Mailing address
1024 POMPANO DR, ROCKLEDGE, FL 32955-2233
(321) 305-7907
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5211566
FL
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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