Individual
BONNIE SUE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6310 HEARDS LN, GALVESTON, TX 77551-1438
(903) 503-0651
Mailing address
6310 HEARDS LN, GALVESTON, TX 77551-1438
(903) 503-0651
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
215865
TX
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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