NPI 1366702060

Clara M Davis

Practitioner Private Vehicle South Bend, IN

Practice location

Address: 1719 W Dubail St, South Bend, IN 46613-1216
Phone: (574) 233-2287

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X

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Registry record

NPI: 1366702060
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 May 2012
Record last updated: 29 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.