Individual
EVETTE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 BEATTY DR, XENIA, OH 45385-3904
(937) 626-2683
Mailing address
400 BEATTY DR, XENIA, OH 45385-3904
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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