Individual
ANICE L DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10901 BURNT MILL RD APT 1109, JACKSONVILLE, FL 32256-2857
(904) 885-8115
Mailing address
PO BOX 2411, JACKSONVILLE, FL 32203
(904) 885-8115
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
FL
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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