TIMOTHY DAVIS

OMAHA, NE
NPI1356731616
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2015-01-26
Last Update Date2015-01-26
Business Address
-- TIMOTHY DAVIS
4732 S 131ST ST
OMAHA, NE 68137-1822
Phone number: 402-697-3923
Mailing Address
-- TIMOTHY DAVIS
5624 LEAVENWORTH ST
OMAHA, NE 68106-1236
Phone number: 616-893-1058