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Individual

SHIEASHA DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8036 BARKSDALE WAY, INDIANAPOLIS, IN 46216-2081
(317) 361-2178
Mailing address
8036 BARKSDALE WAY, INDIANAPOLIS, IN 46216-2081
(317) 361-2178

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
921883750
IN

Other

Enumeration date
09/09/2024
Last updated
09/09/2024
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