| NPI | 1457820474 |
|---|---|
| Professional Name | SHILO L DAVENPORT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.135468.MEDS-IV) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2018-11-20 |