Individual
MS. LATRISHA R DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8423 CORLISS AVE UNIT 101, STURTEVANT, WI 53177-1668
(262) 331-8094
Mailing address
1631 GRAND AVE, RACINE, WI 53403-2627
(262) 331-8094
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
WI
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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