TANJALA DAVENPORT

VALDOSTA, GA
NPI1295201127
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
Enumeration Date2018-10-18
Last Update Date2018-10-18
Business Address
TANJALA DAVENPORT
811 W MARY ST APT B1
VALDOSTA, GA 31601-3781
Phone number: 229-630-5146
Mailing Address
TANJALA DAVENPORT
811 W MARY ST APT B1
VALDOSTA, GA 31601-3781
Phone number: 229-630-5146
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