Individual
JACQUELINE SHERRELL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
218A SUNSET ROAD, SRREENING, CRISI & INTERVENTINO PORGRAM (SCIP), WILLIINGBORO, NJ 08046-1110
(609) 835-6180
(609) 835-7962
Mailing address
1289 ROUTE 38 WEST, HAINSEPORT, NJ 08036-2730
(609) 267-5656
(609) 276-8892
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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