Individual
DENISE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
545 MAIN ST STE D, WATERBORO, ME 04087-3001
(207) 432-7571
(207) 247-2221
Mailing address
545 MAIN ST STE D, WATERBORO, ME 04087-3001
(207) 432-7571
(207) 247-2221
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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