Nichole D Davis LPN

NPI 1306915293 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1306915293
Gender Female
Enumeration Date 11/07/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4TH &INNER LOOP
FORT IRWIN CA, 92310, US
Phone (760) 380-3185
Fax
Business Location
3102 RHINELAND DR
#B
FORT IRWIN CA, 92310-1543, US
Phone (760) 386-4947
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Virginia
License Number 0002070702
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According to our database, Nichole D Davis LPN NPI is 1306915293, taxonomy code is 164W00000X and license number is 0002070702, license state is located at Virginia. Nichole D Davis LPN physically located at 4th &inner Loop, Fort Irwin CA, 92310. NPI Number Nichole D Davis LPN has the Individual type.

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1306915293 NPI number is provided on an as is basis without warranty of any kind. 1306915293 is maintained by the National Plan & Provider Enumeration System. The contents of Nichole D Davis LPN are for informational purposes only.