Nicole L Davis LAT

NPI 1083797807 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1083797807
Gender Female
Enumeration Date 10/23/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
240 MAPLE STREET
WOODRUFF WI, 54568-0470, US
Phone (715) 356-8000
Fax
Business Location
240 MAPLE STREET
PO BOX 470
WOODRUFF WI, 54568-0470, US
Phone (715) 356-8000
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Wisconsin
License Number 521-039
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According to our database, Nicole L Davis LAT NPI is 1083797807, taxonomy code is 2255A2300X and license number is 521-039, license state is located at Wisconsin. Nicole L Davis LAT physically located at 240 Maple Street, Woodruff WI, 54568-0470. NPI Number Nicole L Davis LAT has the Individual type.

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1083797807 NPI number is provided on an as is basis without warranty of any kind. 1083797807 is maintained by the National Plan & Provider Enumeration System. The contents of Nicole L Davis LAT are for informational purposes only.