Mia Shantale Davis

NPI #1396616322 in Lima, Ohio

Provider Information

NPI Number
1396616322
Entity Type
Individual
Name
Mia Shantale Davis
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Homemaker
Enumeration Date
Sep 15, 2025
Last Updated
Sep 15, 2025

Practice Location

Address
562 ORENA AVE
City
Lima
State
Ohio
ZIP Code
45804-1450
Phone
(615) 678-3104

Specialties & Taxonomy Codes

Specialty
Homemaker

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