Individual
KIMBERLY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSTOM, L.AC
Contact information
Practice address
1110 N WASHINGTON ST, RUAH CENTER, NAPERVILLE, IL 60563-2767
(630) 235-8824
Mailing address
2738 ALYSSA DR, NAPERVILLE, IL 60565-3038
(630) 235-8824
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.001181
IL
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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