Individual
CHASIDY R SPANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2742 E 53RD ST, DAVENPORT, IA 52807-3821
(972) 815-9363
Mailing address
2742 E 53RD ST, DAVENPORT, IA 52807-3821
(972) 815-9363
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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