Individual
MS. JANIELLE TENISE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4124 LINDEN AVE, DAYTON, OH 45432-3018
(937) 522-0961
(937) 522-0951
Mailing address
2843 LOUELLA AVE, DAYTON, OH 45417-4213
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
161583
OH
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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