Individual
DANIELLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
531 BRADKIN CT, RALEIGH, NC 27610-4696
(203) 815-5109
Mailing address
531 BRADKIN CT, RALEIGH, NC 27610-4696
(203) 815-5109
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
91074
NC
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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