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Individual

HOMESHA DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1250 W 16TH ST APT 418, JACKSONVILLE, FL 32209-5084
(904) 662-0086
Mailing address
1250 W 16TH ST APT 418, JACKSONVILLE, FL 32209-5084
(904) 662-0086

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
FL
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
11/14/2022
Last updated
12/12/2022
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