Individual
JENNY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
11335 SSG SIMS STREET, FORT BLISS, TX 79918
(915) 742-1363
Mailing address
11335 SSG SIMS STREET, FORT BLISS, TX 79938
(915) 742-1363
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
679523-4101
UT
231H00000X
Audiologist
—
—
Other
Enumeration date
05/29/2007
Last updated
03/20/2024
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