Individual
ANTONIO SPENCER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10915 MOUNT OVERLOOK AVE, CLEVELAND, OH 44104-2527
(216) 309-8786
Mailing address
10915 MOUNT OVERLOOK AVE, CLEVELAND, OH 44104-2527
(216) 309-8786
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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