Individual
MRS. ANGELA DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6819 WALTONS LN, GLOUCESTER, VA 23061-6113
(804) 693-2623
Mailing address
6819 WALTONS LN, GLOUCESTER, VA 23061-6113
(804) 693-2623
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101004563
VA
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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