Individual
GWENDOLYN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
631 LEE RD APT 1212, BEDFORD, OH 44146-3421
(216) 374-5188
Mailing address
631 LEE RD APT 1212, BEDFORD, OH 44146-3421
(216) 374-5188
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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