DENISE KATRINA DAVIS

CARBONDALE, IL
NPI1447795935
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  043.121699)
Enumeration Date2016-12-20
Last Update Date2016-12-20
Business Address
-- DENISE KATRINA DAVIS
43 HILLCREST DR
CARBONDALE, IL 62901-2444
Phone number: 618-201-2925
Mailing Address
-- DENISE KATRINA DAVIS
43 HILLCREST DR
CARBONDALE, IL 62901-2444
Phone number: 618-201-2925