Individual
ANGELA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 SHALLOWFORD DR, WILMINGTON, NC 28412-7654
(910) 547-1148
Mailing address
1005 SHALLOWFORD DR, WILMINGTON, NC 28412-7654
(910) 547-1148
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/22/2021
Last updated
04/22/2022
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