Andrea Davis

NPI #1063215911 in La Vista, Nebraska

Provider Information

NPI Number: 1063215911
Entity Type: Individual
Name: Andrea Davis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Adult Companion
Enumeration Date: Mar 28, 2025
Last Updated: Mar 28, 2025

Practice Location

Address: 8102 S 90TH PLZ APT 3
City: La Vista
State: Nebraska
ZIP Code: 68128-4008
Phone: (404) 416-6853

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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