Individual
TANEEKA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3605 DEMARET DR, MESQUITE, TX 75150-1030
(214) 710-0436
Mailing address
3605 DEMARET DR, MESQUITE, TX 75150-1030
(469) 834-9815
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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