Individual
MR. SAMUEL ANTHONY DAVIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 SOUTH HUNTINGTON AVENUE, JAMAICA PLAIN, MA 02130
(857) 364-6381
Mailing address
150 SOUTH HUNTINGTON AVENUE, JAMAICA PLAIN, MA 02130
(857) 364-6381
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
MA
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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