Individual
AJA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
13218 FARMERS BLVD, JAMAICA, NY 11434-4126
(347) 567-0051
Mailing address
13218 FARMERS BLVD, JAMAICA, NY 11434-4126
(347) 567-0051
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10303688
NY
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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