Individual
ANGELA M. DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
216 S 12TH ST, CAMBRIDGE, OH 43725-2417
(740) 584-5821
Mailing address
216 S 12TH ST, CAMBRIDGE, OH 43725-2417
(740) 584-5821
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
2487063
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303020591201
—
OH
Enumeration date
12/13/2006
Last updated
07/26/2011
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