Chauntia Davis
Community Health Worker in Gaithersburg, MD. Individual provider (NPI-1).
NPI number1083316319
StatusActive
Last updated in NPPESJun 23, 2023
Details
- NPI
- 1083316319
- Entity type
- Individual (NPI-1)
- Name
- Ms. Chauntia Davis
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 20, 2023
- Certification date
- Jun 23, 2023
- Last updated
- Jun 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
16 Granite PlGaithersburg, MD 20878-6583
Phone 860-965-8277
Mailing address
Po Box 1283Glen Burnie, MD 21060-1283
Phone 860-965-8277
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