MR. Larry E Davis JR.
NPI #1396083390 in Youngstown, Ohio
Provider Information
- NPI Number
- 1396083390
- Entity Type
- Individual
- Name
- MR. Larry E Davis JR.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Jan 25, 2013
- Last Updated
- Jan 25, 2013
Practice Location
- Address
- 4011 GLENWOOD AVE
- Address 2
- APT 1
- City
- Youngstown
- State
- Ohio
- ZIP Code
- 44512-1043
- Phone
- (330) 318-0392
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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