Individual
MELISSA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8522 GRANVILLE PKWY APT 501, LA VISTA, NE 68128-2430
(402) 452-6641
Mailing address
8522 GRANVILLE PKWY APT 501, LA VISTA, NE 68128-2430
(402) 452-6641
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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