Individual
JOLENE ELAINE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HS
Contact information
Practice address
COAST GUARD 2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20593-0001
(252) 335-6460
Mailing address
COAST GUARD 2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20593-0001
(252) 335-6460
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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