Individual
MRS. ELEASE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 W CENTRAL AVE STE 104, LAKE WALES, FL 33853-4186
(863) 250-5722
Mailing address
1 W CENTRAL AVE STE 104, LAKE WALES, FL 33853-4186
(863) 250-5722
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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