Individual
DEIDRA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1791 ALUM CREEK DRIVE, COLUMBUS, OH 43207
(614) 445-8131
Mailing address
1791 ALUM CREEK DTIVE, COLUMBUS, OH 43207
(614) 445-8131
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN164270.MED-IV
OH
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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