Individual
COLLEEN ELIZABETH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
816 E 9TH CT, PANAMA CITY, FL 32401-3438
(850) 625-4828
(850) 252-6192
Mailing address
816 E 9TH CT, PANAMA CITY, FL 32401-3438
(850) 625-4828
(850) 252-6192
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
156496
FL
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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