Individual
JESSICA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2530 S COMMERCE ST BLDG C, ARDMORE, OK 73401-5519
(580) 226-5048
Mailing address
2530 S COMMERCE ST BLDG C, ARDMORE, OK 73401-5519
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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