Individual
LASHAWNDA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10520 RUNNYMEADE DR, GLEN ALLEN, VA 23059-8004
(804) 216-0177
Mailing address
10520 RUNNYMEADE DR, GLEN ALLEN, VA 23059-8004
(804) 216-0177
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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