Individual
JOHANNA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29028 HUDSON RD, DAGSBORO, DE 19939-3837
(443) 496-6011
Mailing address
29028 HUDSON RD, DAGSBORO, DE 19939-3837
(443) 496-6011
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
140460
MD
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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