Individual
LATOYA DENISE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8739 S RACINE AVE, CHICAGO, IL 60620-3479
(773) 551-1454
Mailing address
8739 S RACINE AVE, CHICAGO, IL 60620-3479
(773) 551-1454
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
IL
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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