Individual
MR. CORY DUWAYNE DAVIS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6620 POST TOWN RD, DAYTON, OH 45426-3132
(937) 559-4408
Mailing address
6620 POST TOWN RD, DAYTON, OH 45426-3132
(937) 559-4408
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0481216
—
OH
Enumeration date
02/06/2023
Last updated
02/06/2023
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