Individual
ANNUQUETTE K DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 577-7535
Mailing address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 577-7535
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
157701
TN
246RM2200X
Medical Laboratory Technician
20127
TN
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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