Individual
SHANNON DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2213 BREMONT AVE, CINCINNATI, OH 45237-4201
(513) 815-9279
Mailing address
2213 BREMONT AVE, CINCINNATI, OH 45237-4201
(513) 815-9279
Taxonomy
Speciality
Code
Description
License number
State
347B00000X
Bus
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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