D'jara Lysette Davis LPN

NPI 1689808347 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1689808347
Gender Female
Enumeration Date 05/11/2009
Last Updated 05/11/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
3607 ELLIS WAY
MIDDLETOWN OH, 45044-6520, US
Phone (513) 267-8556
Fax
Business Location
3607 ELLIS WAY
MIDDLETOWN OH, 45044-6520, US
Phone (513) 267-8556
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Ohio
License Number PN.129816
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According to our database, D'jara Lysette Davis LPN NPI is 1689808347, taxonomy code is 164W00000X and license number is PN.129816, license state is located at Ohio. D'jara Lysette Davis LPN physically located at 3607 Ellis Way, Middletown OH, 45044-6520. NPI Number D'jara Lysette Davis LPN has the Individual type.

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1689808347 NPI number is provided on an as is basis without warranty of any kind. 1689808347 is maintained by the National Plan & Provider Enumeration System. The contents of D'jara Lysette Davis LPN are for informational purposes only.