Individual
MR. LEONARD JASON DAVENPORT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3109 BRAEBURN LN, HARRISBURG, PA 17110-9117
(717) 319-6641
Mailing address
3109 BRAEBURN LN, HARRISBURG, PA 17110-9117
(717) 319-6641
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
41083601
PA
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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