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Jennifer Davis

Technician, Personal Care Attendant in South Charleston, WV. Individual provider (NPI-1).

NPI number1265254403
StatusActive
Last updated in NPPESOct 30, 2024

Details

NPI
1265254403
Entity type
Individual (NPI-1)
Name
Jennifer Davis
Sex
Female
Sole proprietor
No
Enumeration date
Oct 29, 2024
Certification date
Oct 30, 2024
Last updated
Oct 30, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

144 7th Ave
South Charleston, WV 25303-1452

Phone 304-744-4081 · Fax 304-744-8606

Mailing address

144 7th Ave
South Charleston, WV 25303-1452

Phone 304-744-4081 · Fax 304-744-8606

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