| NPI | 1487005039 |
|---|---|
| Other Name | GLENDA FAYE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2016-07-11 |