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Individual

MS. JULIE ANNETTE DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN CSN

Contact information

Practice address
4735 W MORTEN AVE, GLENDALE, AZ 85301-1560
(623) 707-2103
(623) 707-2204
Mailing address
4735 W MORTEN AVE, GLENDALE, AZ 85301-1560
(623) 707-2103
(623) 707-2204

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN069064
AZ
163WS0200X
School Registered Nurse
Primary
SN0967
AZ

Other

Enumeration date
12/03/2008
Last updated
12/03/2008
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