Most Relevant Information
Provider Data
| NPI Number: | 1003466541 |
| Provider Name: | DAVINA TERRY |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 265634 |
Most Important Dates
| Enumeration Date: | 09/17/2019 |
| Last Updated: | 09/17/2019 |
Provider Practice Location
1271 BROOKLYN AVE
BROOKLYN
NY
112035550
Practice Location Phone/Fax
| Phone: | 3473856962 |
| Fax: |
Provider Mailing Location
1271 BROOKLYN AVE
BROOKLYN
NY
112035550
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |