Individual
SHAMALA L DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 HORNING RD, BETHEL PARK, PA 15102-3044
(412) 973-8413
Mailing address
119 HORNING RD, BETHEL PARK, PA 15102-3044
(412) 973-8413
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
43863601
PA
Other
Enumeration date
07/20/2019
Last updated
07/20/2019
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