Individual
CASSANDRA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 PENNSYLVANIA AVE STE C, CHARLESTON, WV 25302-4835
(304) 965-9081
(304) 471-2488
Mailing address
PO BOX 95, HANDLEY, WV 25102-0095
(304) 415-6593
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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