Individual
JAMINEKA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7942 SHINY MEADOW LN, CHARLOTTE, NC 28215-5066
(704) 712-6959
Mailing address
7942 SHINY MEADOW LN, CHARLOTTE, NC 28215-5066
(704) 712-6959
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
157421
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157421
—
NC
Enumeration date
07/06/2012
Last updated
07/06/2012
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