Individual
DASHA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 E WENDOVER AVE, GREENSBORO, NC 27405-6713
(336) 641-3221
Mailing address
1890 LEGACY PARK, APT 201, WINSTON SALEM, NC 27103-5785
(336) 641-3221
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
280156
NC
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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