Individual
PAMELA D DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9186 CHILLICOTHE LANCASTER RD SW, AMANDA, OH 43102-9534
(614) 565-5733
Mailing address
9186 CHILLICOTHE LANCASTER RD SW, AMANDA, OH 43102-9534
(614) 565-5733
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
2456168
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2456168
—
OH
Enumeration date
11/16/2020
Last updated
11/16/2020
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