DEIDRE A.L DAVIS

GREEN BAY, WI
NPI1861253205
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2024-01-22
Last Update Date2024-01-22
Business Address
DEIDRE A.L DAVIS
800 CHICAGO ST APT 2
GREEN BAY, WI 54301-3966
Phone number: 920-217-4266
Mailing Address
DEIDRE A.L DAVIS
800 CHICAGO ST APT 2
GREEN BAY, WI 54301-3966
Phone number: 920-217-4266