Individual
JEFFERY ALAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 PLANTATION RD, NORTH, VA 23128-2021
(804) 815-2350
Mailing address
615 PLANTATION RD, NORTH, VA 23128-2021
(804) 815-2350
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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