Lyee Davenport, CNA
Nurse's Aide in Woodbine, NJ. Individual provider (NPI-1).
NPI number1013166016
StatusActive
Last updated in NPPESSep 15, 2008
Details
- NPI
- 1013166016
- Entity type
- Individual (NPI-1)
- Name
- Lyee Davenport
- Credential
- CNA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 15, 2008
- Last updated
- Sep 15, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | NA NJ0608457478 | NJ | Yes |
Practice location
526 Jefferson AveWoodbine, NJ 08270-2109
Phone 800-950-6066
Mailing address
526 Jefferson AveWoodbine, NJ 08270-2109
Phone 800-950-6066
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