Individual
LONYEA TENELL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 N BURNS ST, MUNCIE, IN 47303-4004
(765) 228-7177
Mailing address
1408 W STIRLING DR, MUNCIE, IN 47304-2245
(765) 228-7177
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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