Individual
KEIMA SHEREI DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
3841 MOSSCROFT LN, CHARLOTTE, NC 28215-0919
(704) 649-7515
Mailing address
PO BOX 42561, CHARLOTTE, NC 28215-0010
(704) 649-7515
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
174N00000X
Lactation Consultant (Non-RN)
Primary
L-307162
NC
252Y00000X
Early Intervention Provider Agency
—
NC
Other
Enumeration date
09/09/2022
Last updated
01/30/2023
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