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Individual

MR. DEMETRUS DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3548 IDLEWILD AVE, CINCINNATI, OH 45207-1059
(513) 498-2541
Mailing address
3548 IDLEWILD AVE, CINCINNATI, OH 45207-1059

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
OH
372600000X
Adult Companion
401428670812
OH
3747P1801X
Personal Care Attendant
374U00000X
Home Health Aide
376J00000X
Homemaker
376K00000X
Nurse's Aide
Primary

Other

Enumeration date
01/26/2015
Last updated
01/26/2015
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