Individual
ANTOINETTE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 ALTA DR APT 1108, LAS VEGAS, NV 89106-4152
(702) 782-4096
Mailing address
1700 ALTA DR APT 1108, LAS VEGAS, NV 89106-4152
(702) 782-4096
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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