Individual
MR. JEREMY DAVALOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
211-B WAYNE ST, COLUMBIA, TN 38401-4526
(931) 560-3082
(931) 560-3072
Mailing address
211- B WAYNE ST., COLUMBIA, TN 38401-4526
(931) 560-3082
(931) 560-3072
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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