Individual
MRS. MARY ANNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HOME HEALTH
Contact information
Practice address
2266 SEMINOLE AVE, SPRINGFIELD, OH 45506-3241
(937) 284-7664
(937) 284-7664
Mailing address
2266 SEMINOLE AVE, SPRINGFIELD, OH 45506-3241
(937) 284-7664
(937) 284-7664
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
2318343
OH
Other
Enumeration date
01/14/2007
Last updated
07/08/2007
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