DEMEKISA SIDAMO DAVIS

GULFPORT, FL
NPI1902987902
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171100000X Acupuncturist
(Licence: FL  AP1210)
Additional Taxonomies175F00000X Naturopath
Enumeration Date2006-10-17
Last Update Date2012-11-26
Business Address
Dr. DEMEKISA SIDAMO DAVIS D.O.M.
5301 GULFPORT BLVD
GULFPORT, FL 33707
Phone number: 727-642-6470
Mailing Address
Dr. DEMEKISA SIDAMO DAVIS D.O.M.
5301 GULFPORT BLVD.
GULFPORT, FL 33707
Phone number: 727-642-6470
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