Individual
MS. RUTH D DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QRP
Contact information
Practice address
RR 2 BOX 154, COTTAGEVILLE, WV 25239-9525
(304) 372-6462
Mailing address
RR 2 BOX 154, COTTAGEVILLE, WV 25239-9525
(304) 372-6462
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
QRP666666
WV
Other
Enumeration date
05/20/2007
Last updated
07/08/2007
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