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Individual
LATONIA DAVIS
Active
Individual
LATONIA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
347C00000X
Private Vehicle
—
NULL
Other
Enumeration date
06/16/2020
Last updated
02/23/2022
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