Individual
ELIZABETH ANNE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4131 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4326
(904) 745-0067
Mailing address
605 AZALEA CT APT A, SAINT MARYS, GA 31558-2416
(757) 576-2885
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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