Most Relevant Information
Provider Data
| NPI Number: | 1003511221 |
| Provider Name: | KHIMMIONE DAVIS |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/05/2023 |
| Last Updated: | 04/05/2023 |
Provider Practice Location
715 15TH ST SE APT 1
WASHINGTON
DC
200033066
Practice Location Phone/Fax
| Phone: | 2409352062 |
| Fax: |
Provider Mailing Location
715 15TH ST SE APT 1
WASHINGTON
DC
200033066
Provider Mailing Phone/Fax
| Phone: | 2409352062 |
| Fax: |