Individual
MRS. LACHELE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4869 SE 102ND PL, BELLEVIEW, FL 34420-2912
(352) 347-8769
(352) 307-3560
Mailing address
4869 SE 102ND PL, BELLEVIEW, FL 34420-2912
(352) 347-8769
(352) 307-3560
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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