Individual
KELVONNA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 E ST SW, WASHINGTON, DC 20024-3257
(202) 390-6620
Mailing address
2681 DOUGLASS RD SE, WASHINGTON, DC 20020-6595
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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