Individual
ANITA L DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
4728 OXFORD AVE, PHILADELPHIA, PA 19124-5835
(215) 391-8921
Mailing address
7419 BARCLAY RD, CHELTENHAM, PA 19012-1302
(215) 500-9425
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
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