LENA EVELYN DAVIS

WOODSTOCK, GA
NPI1164018552
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA  AT002942)
Enumeration Date2020-12-19
Last Update Date2020-12-19
Business Address
LENA EVELYN DAVIS ATC, LAT, MS
5037 RIVER ROCK WAY
WOODSTOCK, GA 30188-2994
Phone number: 770-789-0192
Mailing Address
LENA EVELYN DAVIS ATC, LAT, MS
5037 RIVER ROCK WAY
WOODSTOCK, GA 30188-2994
Phone number: 770-789-0192