Vishalla Davis

NPI #1396072153 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1396072153
Entity Type: Individual
Name: Vishalla Davis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor - Home Modifications
Enumeration Date: Nov 14, 2009
Last Updated: Nov 14, 2009

Practice Location

Address: 2533 W AUER AVE
City: Milwaukee
State: Wisconsin
ZIP Code: 53206-1223
Phone: (414) 243-9434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor - Home Modifications — Home Modifications	171WH0202X	Primary
Community Health Worker	172V00000X

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