Individual
ELIJAH XIAOSEN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
632 MILL RACE RD, GRANVILLE, OH 43023-9310
(740) 644-8855
Mailing address
632 MILL RACE RD, GRANVILLE, OH 43023-9310
(740) 644-8855
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
12/06/2023
About Stedi
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