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Individual

SHANTIA SHAQWANA DAVISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
310 BRATTON DR STE A, GARNER, NC 27529-7827
(919) 307-3550
Mailing address
421 TRUITTVILLE ST, GARNER, NC 27529-5992
(919) 698-2512

Taxonomy

Speciality
Code
Description
License number
State
374700000X
Technician
Primary

Other

Enumeration date
04/15/2025
Last updated
04/15/2025
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