Shawanda A Davis

NPI #1073128922 in Long Branch, New Jersey

Provider Information

NPI Number: 1073128922
Entity Type: Individual
Name: Shawanda A Davis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Sep 8, 2020
Last Updated: Sep 8, 2020

Practice Location

Address: 103 7TH AVE
City: Long Branch
State: New Jersey
ZIP Code: 07740-6935
Phone: (732) 889-6065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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