Individual
CHENELLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 PENNSYLVANIA AVE SE STE 210, WASHINGTON, DC 20003-4344
(202) 282-3004
Mailing address
1323 FARMINGDALE AVE, CAPITOL HEIGHTS, MD 20743-1229
(240) 304-2743
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00223202
MD
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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