Individual
DEIDRA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 DUNVEGAN LN, RAYMORE, MO 64083-7880
(469) 408-8566
Mailing address
1202 DUNVEGAN LN, RAYMORE, MO 64083-7880
(469) 408-8566
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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