JACQUELINE VIOLET DAVIS

FREEPORT, NY
NPI1710687678
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: NY  582057-1)
Enumeration Date2023-03-08
Last Update Date2023-03-08
Business Address
Dr. JACQUELINE VIOLET DAVIS
642 MILLER AVE
FREEPORT, NY 11520-6313
Phone number: 347-610-6206
Mailing Address
Dr. JACQUELINE VIOLET DAVIS
642 MILLER AVE
FREEPORT, NY 11520-6313
Phone number: 347-610-6206