Individual
ETHNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1941 S 42ND ST STE 514, OMAHA, NE 68105-2981
(402) 614-8444
Mailing address
1941 S 42ND ST STE 514, OMAHA, NE 68105-2981
(402) 614-8444
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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