Individual
SUSAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
414 LOUZY RD, GRAFTON, WV 26354-7668
(304) 672-1064
Mailing address
414 LOUZY RD, GRAFTON, WV 26354-7668
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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