Individual
CHANAE LYNNETTE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
609 WESTOVER HILLS BLVD APT B, RICHMOND, VA 23225-4530
(240) 419-1914
Mailing address
609 WESTOVER HILLS BLVD APT B, RICHMOND, VA 23225-4530
(240) 419-1914
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
1201137980
VA
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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