Individual
MICHELLE L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33 PEYTON ST STE A, FRONT ROYAL, VA 22630-3342
(540) 551-9990
Mailing address
33 PEYTON ST STE A, FRONT ROYAL, VA 22630-3342
(540) 551-9990
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
2705115279A
VA
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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