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Individual

MS. DANIELLE DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
2902 E WASHINGTON AVE, WILLIAM BYRD HIGH SCHOOL, VINTON, VA 24179-1314
(540) 890-3090
Mailing address
25 BEVERLY CT, APT 5, LEXINGTON, VA 24450-3386
(732) 991-5916

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0126002050
VA

Other

Enumeration date
10/25/2013
Last updated
10/25/2013
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