| NPI | 1437676244 |
|---|---|
| Other Name | EJUAN DAVIS SMALLWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Additional Taxonomies | 174400000X Specialist |
| 246Z00000X Specialist/Technologist, Other | |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2022-07-21 |