Individual
TONIKA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1929 PEABODY LN APT 4, LOUISVILLE, KY 40218-1826
(502) 544-3838
Mailing address
1929 PEABODY LN APT 4, LOUISVILLE, KY 40218-1826
(502) 544-3838
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
PT000033188
KY
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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