Individual
BRYAN KEITH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHW
Contact information
Practice address
230 13TH ST, TOLEDO, OH 43604-5443
(419) 283-7956
Mailing address
230 13TH ST, TOLEDO, OH 43604-5443
(419) 283-7956
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
001352
OH
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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