Cherisse Yolanda Davenport

NPI #1124678826 in Gretna, Virginia

Provider Information

NPI Number: 1124678826
Entity Type: Individual
Name: Cherisse Yolanda Davenport
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Sep 14, 2019
Last Updated: Sep 14, 2019

Practice Location

Address: 601 LEFTWICH ST
City: Gretna
State: Virginia
ZIP Code: 24557-2506
Phone: (434) 509-5636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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