Individual
LASHONDRA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMA, EMT
Contact information
Practice address
812 N 6TH ST, SPRINGFIELD, IL 62702-6304
(217) 685-9092
Mailing address
812 N 6TH ST, SPRINGFIELD, IL 62702-6304
(217) 685-9092
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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