Individual
LAQUANDA TAMIKA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1695 LENAPE RD, WEST CHESTER, PA 19382-6801
(301) 593-1315
Mailing address
4055 RIDGE AVE APT 2502, PHILADELPHIA, PA 19129-1581
(215) 501-2636
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP031221
PA
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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