Individual
LAKEISHA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 PECOS ST, FORT WORTH, TX 76119-5609
(817) 531-7333
Mailing address
321 CHRISTIE AVE, EVERMAN, TX 76140-4520
(817) 986-8732
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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