Individual
WYNNETTE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11901 BROOKVALLEY CIR APT A, BALCH SPRINGS, TX 75180-2864
(214) 881-2262
Mailing address
11901 BROOKVALLEY CIR APT A, BALCH SPRINGS, TX 75180-2864
(214) 881-2262
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
8498618
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8498618
CNA CERTIFICATION
TX
Enumeration date
05/28/2014
Last updated
05/28/2014
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