Individual
JEANETTE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1302 SARATOGA AVE NE, WASHINGTON, DC 20018-1946
(202) 557-9239
Mailing address
1302 SARATOGA AVE NE, WASHINGTON, DC 20018-1946
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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