NPI | 1902790892 |
---|---|
Former Name | AFFTIN L DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 247200000X Technician, Other (Licence: CT 001179) |
Additional Taxonomies | 374700000X Technician |
Enumeration Date | 2025-06-05 |
Last Update Date | 2025-06-05 |