CHAUNCEY DAVIDSON

LAS VEGAS, NV
NPI1871801886
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2010-09-24
Last Update Date2010-09-24
Business Address
-- CHAUNCEY DAVIDSON
4400 SOUTH JONES BLVD STE. 1055
LAS VEGAS, NV 89103
Phone number: 704-449-8511
Mailing Address
-- CHAUNCEY DAVIDSON
PO BOX 379
TOLLESON, AZ 85353
Phone number: 704-449-8511