Individual
JHNELL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14502 GREENVIEW DR STE 408, LAUREL, MD 20708-4212
(866) 566-5310
Mailing address
2806 BAYONNE AVE, BALTIMORE, MD 21214-1723
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3590
MD
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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