Individual
KISHA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2042 ROANOKE RD, NORTH PORT, FL 34288-7369
(941) 545-4670
Mailing address
2042 ROANOKE RD, NORTH PORT, FL 34288-7369
(941) 545-4670
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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