Most Relevant Information
Provider Data
NPI Number: | 1003473703 |
Provider Name: | VICTORIA DAVIS |
Entity Type: | Individual |
Taxonomy Code: | 171M00000X |
Specialty: | Case Manager/Care Coordinator |
License Number: |
Most Important Dates
Enumeration Date: | 05/29/2019 |
Last Updated: | 06/23/2022 |
Provider Practice Location
6140 S BROADWAY
LORAIN
OH
440533821
Practice Location Phone/Fax
Phone: | 4402337232 |
Fax: | 4402044315 |
Provider Mailing Location
6140 S BROADWAY
LORAIN
OH
440533891
Provider Mailing Phone/Fax
Phone: | 4402337232 |
Fax: |