Individual
LAMARCUS DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
9838 FAIRFAX SQ, APT 269, FAIRFAX, VA 22031-4235
(434) 755-1487
Mailing address
9838 FAIRFAX SQ, APT 269, FAIRFAX, VA 22031-4235
(434) 755-1487
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
4331
VA
246ZS0410X
Surgical Technologist
4331
VA
Other
Enumeration date
12/08/2013
Last updated
05/29/2014
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