Individual
MRS. NICHOLLE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
812 DENSHIRE DR NW, CANAL FULTON, OH 44614-8699
(330) 936-0940
Mailing address
812 DENSHIRE DR NW, CANAL FULTON, OH 44614-8699
(330) 936-0940
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
5505
OH
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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