Individual
DONNA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6926 DUSTY TRAIL LN, MEMPHIS, TN 38133-4859
(901) 859-3646
Mailing address
6926 DUSTY TRAIL LN, MEMPHIS, TN 38133-4859
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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