Individual
DESIREE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6681 RIDGE RD STE 300, PARMA, OH 44129-5705
(330) 668-6785
Mailing address
7923 HOY CT, CINCINNATI, OH 45231-3315
(513) 393-1798
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.0027523
OH
363LG0600X
Gerontology Nurse Practitioner
LE-00033452
OH
Other
Enumeration date
08/05/2020
Last updated
08/16/2024
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