Individual
MS. JESSICA ELIZABETH DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
33 DAVIS AVE, VALHALLA, NY 10595-2001
(914) 374-5383
Mailing address
33 DAVIS AVE, VALHALLA, NY 10595-2001
(914) 374-5383
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
007604-1
NY
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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