Individual
SHENISHA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6051 W BROWN DEER RD STE 203, BROWN DEER, WI 53223-2263
(414) 928-1300
Mailing address
6051 W BROWN DEER RD STE 203, BROWN DEER, WI 53223-2263
(414) 928-1300
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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