Tina Davis
NPI #1700479888 in Beckley, West Virginia
Provider Information
- NPI Number
- 1700479888
- Entity Type
- Individual
- Name
- Tina Davis
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Health Worker
- Enumeration Date
- Feb 19, 2021
- Last Updated
- Feb 19, 2021
Practice Location
- Address
- 159 MARIGOLD LN
- City
- Beckley
- State
- West Virginia
- ZIP Code
- 25801-9041
- Phone
- (304) 934-6102
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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