Elda Jean Davis
NPI #1003464926 in Park Forest, Illinois
Provider Information
- NPI Number
- 1003464926
- Entity Type
- Individual
- Name
- Elda Jean Davis
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Attendant Care Provider
- Enumeration Date
- Sep 4, 2019
- Last Updated
- Sep 4, 2019
Practice Location
- Address
- 208 JUNIPER ST
- City
- Park Forest
- State
- Illinois
- ZIP Code
- 60466
- Phone
- (708) 202-8387
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Attendant Care Provider — Attendant Care Provider |
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