Ryan Davis
Driver in Cudahy, WI. Individual provider (NPI-1).
NPI number1669215414
StatusActive
Last updated in NPPESJun 18, 2024
Details
- NPI
- 1669215414
- Entity type
- Individual (NPI-1)
- Name
- Ryan Davis
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2024
- Certification date
- Jun 18, 2024
- Last updated
- Jun 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | – | – | Yes |
Practice location
3001 E Adams AveCudahy, WI 53110-2147
Phone 414-940-0145
Mailing address
3001 E Adams AveCudahy, WI 53110-2147
Phone 414-940-0145
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