Most Relevant Information
Provider Data
| NPI Number: | 1003634379 |
| Provider Name: | RAVEN DAVIS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/26/2024 |
| Last Updated: | 09/26/2024 |
Provider Practice Location
6 PUBLIC SQ # SQUARE2
GALION
OH
448331926
Practice Location Phone/Fax
| Phone: | 5675603583 |
| Fax: |
Provider Mailing Location
2204 KENTWOOD DR
MANSFIELD
OH
449039643
Provider Mailing Phone/Fax
| Phone: | 9043040284 |
| Fax: |