Individual
DEBORAHAN F DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
34600 SW188 AVE, HOMESTEAD, FL 33034-4519
(786) 339-4036
Mailing address
34600 SW 188TH AVE, HOMESTEAD, FL 33034-4519
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
194729
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001536100
—
FL
Enumeration date
06/15/2012
Last updated
06/15/2012
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