Individual
EFFIE BEALAUSA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2539 HAMILTON AVE, COLUMBUS, OH 43211-1354
(614) 424-0058
Mailing address
2539 HAMILTON AVE, COLUMBUS, OH 43211-1354
(614) 424-0058
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401896930916
OH
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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