Individual
MRS. BARBARA JEAN DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 CHOWAN SHORES DRIVE, COLERAIN, NC 27924
(252) 209-6986
Mailing address
231 CHOWAN SHORES DRIVE, COLERAIN, NC 27924
(252) 209-6986
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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