Individual
SANDRESIA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18580 NW 60TH AVE, REDDICK, FL 32686-2308
(352) 575-1592
Mailing address
18580 NW 60TH AVE, REDDICK, FL 32686-2308
(352) 575-1592
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
30212882
FL
Other
Enumeration date
05/25/2026
Last updated
05/25/2026
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