Tamatha Henderson Davis, LPN
NPI #1073650974 in Fort Meade, Maryland
Provider Information
- NPI Number
- 1073650974
- Entity Type
- Individual
- Name
- Tamatha Henderson Davis, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Jan 31, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2480 LLEWELLYN AVE
- City
- Fort Meade
- State
- Maryland
- ZIP Code
- 20755-5800
- Phone
- (301) 677-8270
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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