Lawanda Davis
Technician, Personal Care Attendant in Saint Louis, MO. Individual provider (NPI-1).
NPI number1164099271
StatusActive
Last updated in NPPESJun 7, 2021
Details
- NPI
- 1164099271
- Entity type
- Individual (NPI-1)
- Name
- Ms. Lawanda Davis
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 7, 2021
- Certification date
- Jun 7, 2021
- Last updated
- Jun 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | MO | Yes |
Practice location
5621 Delmar Blvd Ste 107Saint Louis, MO 63112-2660
Phone 314-664-9900 · Fax 314-664-9901
Mailing address
5621 Delmar Blvd Ste 107Saint Louis, MO 63112-2660
Phone 314-664-9900 · Fax 314-664-9901
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