CORA DAVIS

COLLINSVILLE, IL
NPI1235670928
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy347C00000X Private Vehicle
Additional Taxonomies343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2017-03-14
Last Update Date2017-06-18
Business Address
-- CORA DAVIS
600 GREENWOOD PL
COLLINSVILLE, IL 62234-1409
Phone number: 314-504-9903
Mailing Address
-- CORA DAVIS
600 GREENWOOD PL
COLLINSVILLE, IL 62234-1409
Phone number: