Individual
KATRINA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1239 E MAIN STREET, BARTOW, FL 33830
(863) 519-0575
(863) 519-0728
Mailing address
PO BOX 1559, PEACE RIVE CENTER, BARTOW, FL 33831-1559
(863) 519-0575
(863) 519-0728
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
09/19/2006
Last updated
07/08/2007
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