Individual
JANSAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 MAIN ST, PEORIA, IL 61602-1005
(309) 672-4536
Mailing address
5508 E CAPTAIN RD, CHILLICOTHE, IL 61523-9496
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/30/2026
Last updated
06/30/2026
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