Individual
LAQUISHA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5736 N TRYON ST STE 213A, CHARLOTTE, NC 28213-6889
(980) 729-3654
Mailing address
5736 N TRYON ST STE 213A, CHARLOTTE, NC 28213-6889
(980) 729-3654
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NC
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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