Individual
CHARLES EDWARD DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
822 TRUESDALE RD, YOUNGSTOWN, OH 44511-3758
(330) 501-5797
Mailing address
822 TRUESDALE RD, YOUNGSTOWN, OH 44511-3758
(330) 501-5797
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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