Individual
JESSICA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
221 MAHALANI ST, WAILUKU, HI 96793-2526
(808) 244-9056
Mailing address
43593 W ARIZONA AVE, MARICOPA, AZ 85138-5640
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
HI
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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