Individual
JAWANDA LE'CRESS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 S 5TH ST, RICHMOND, VA 23219-3825
(804) 810-4000
Mailing address
107 S 5TH ST, RICHMOND, VA 23219-3825
(180) 481-9400
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202218169
VA
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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