Individual
HEATHER NICOLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5707 E LYNN RD, KIAHSVILLE, WV 25534-9714
(304) 849-2160
Mailing address
5707 E LYNN RD, KIAHSVILLE, WV 25534-9714
(304) 849-2160
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
14244268781012
WV
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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