Individual
WENDI LYNN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
440 MAIN ST, SUITE 112, STEVENSVILLE, MD 21666-4400
(410) 340-4216
Mailing address
747 MATCH POINT DR, ARNOLD, MD 21012-1137
(410) 340-4216
(443) 249-3131
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MO3902
MD
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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