Chanae Lynnette Davis

NPI #1639775976 in Richmond, Virginia

Provider Information

NPI Number: 1639775976
Entity Type: Individual
Name: Chanae Lynnette Davis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Prosthetist
Enumeration Date: Dec 10, 2020
Last Updated: Dec 10, 2020

Practice Location

Address: 609 WESTOVER HILLS BLVD APT B
City: Richmond
State: Virginia
ZIP Code: 23225-4530
Phone: (240) 419-1914

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetist	224P00000X	Primary

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