Individual
JANISHA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 ROLLING ROCK CREEK DR, WENTZVILLE, MO 63385-5582
(765) 278-4645
Mailing address
215 ROLLING ROCK CREEK DR, WENTZVILLE, MO 63385-5582
(765) 278-4645
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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